FORM 1023-EZ for COMMUNITY COUNSELING SERVICE OF PASCACK VALLEY INC
| Field | Data |
|---|---|
| EIN | 22-2175027 |
| Case Number | EO-2019316-000342 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COMMUNITY COUNSELING SERVICE OF PASCACK VALLEY INC |
| Organization’s Mailing Address | 131 PASCACK RAOD |
| City | PARK RIDGE |
| State | NJ |
| ZIP | 7656 |
| Accounting period End | 12 |
| Primary contact name | THOMAS WILLINGHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JULIE BLISS
BOARD MEMBER
9 NORTH AVENUE
MONTVALE NJ 7645
Officer/Director/Trustee Two
LARISSA ROMERO
SECRETARY
39 PASCACK RD
PARK RIDGE NJ 7656
Officer/Director/Trustee Three
MARK STUTZEL
VICE CHAIR
186 EAGLE DRIVE
EMERSON NJ 7630
Officer/Director/Trustee Four
MARK SURIANO
CHAIR
150 PASCACK RD
PARK RIDGE NJ 7656
Officer/Director/Trustee Five
THOMAS WILLINGHAM
TREASURER
125 HIGHMOUNT AVE
UPPER NYACK NY 10960
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/23/19 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | THOMAS WILLINGHAM |
| Signature Title | TREASURER |
| Signature Date | 11/8/19 |
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