FORM 1023-EZ for NASABA FAMILY COUNSELING & CONSULTING INC

Field Data
EIN 86-1465042
Case Number EO-2021076-000769
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NASABA FAMILY COUNSELING & CONSULTING INC
Organization’s Mailing Address 1040 S MT VERNON AVE G163
City COLTON
State CA
ZIP 92324
Accounting period End 12
Primary contact name STEPHEN GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN GARRETT
EXECUTIVE DIRECTOR
1040 S MT VERNON AVE G163
COLTON CA 92324

Officer/Director/Trustee Two

DONNA GARRETT
TREASURER
12223 HIGHLAND AVE SUITE 106 368
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Three

VIRGO GARRETT
SECRETARY
12223 HIGHLAND AVE SUITE 106 368
RANCHO CUCAMONGA CA 91739

Officer/Director/Trustee Four

ELVIRA HARRIS
BOARD MEMBER
9568 SPRINGBROOK CT
RANCH CUCAMONGA CA 91730

Officer/Director/Trustee Five

STEVE LUCAS
BOARD MEMEBER
12223 HIGHLAND AVE SUITE 106 368
RANCHO CUCAMONGA CA 91739

Organization’s website
Organization’s email Nasabafamilyservices@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 STEPHEN GARRETT
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/19/2021

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