FORM 1023-EZ for NORTHERN LIGHTS COUNSELING AND CONSULTATION

Field Data
EIN 86-1328374
Case Number EO-2021100-000687
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN LIGHTS COUNSELING AND CONSULTATION
Organization’s Mailing Address 9743 NEWHAVEN LOOP
City ANCHORAGE
State AK
ZIP 99507
Accounting period End 12
Primary contact name DR SHERRI SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRISCILLA MONTANELLI
SECRETARY
8030 CLEAR HAVEN CIRCLE
ANCHORAGE AK 99507

Officer/Director/Trustee Two

CHRISTOPHER KIRSCHMAN
TREASURER
450 INDIAN ROAD
INDIAN AK 99540

Officer/Director/Trustee Three

NONI RATHBUN
VICE PRESIDENT
2804 W 33RD
ANCHORAGE AK 99517

Officer/Director/Trustee Four

SHERRI SCOTT
PRESIDENT
9743 NEWHAVEN LOOP
ANCHORAGE AK 99507

Officer/Director/Trustee Five

SUSIE OLSON
DIRECTOR
2330 BANBURY COURT
PALMER AK 99645

Organization’s website
Organization’s email SLSCOTT@GCI.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2020
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHERRI SCOTT
Signature Title PRESIDENT
Signature Date 3/26/2021

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