FORM 1023-EZ for COVENANT COUNSELING CENTER INC

Field Data
EIN 68-0041174
Case Number EO-2018059-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVENANT COUNSELING CENTER INC
Organization’s Mailing Address P O BOX 49400
City REDDING
State CA
ZIP 96049-4100
Accounting period End 12
Primary contact name JOHN W TILLERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYLE FAUDREE
PRES
23411 OLD 44 DRIVE
MILLVILLE CA 96062

Officer/Director/Trustee Two

JOHN TILLERY
TREAS
4636 COLUMBINE DR
REDDING CA 96002

Officer/Director/Trustee Three

JOHN TILLERY
SECRETARY
4636 COLUMBINE DR
REDDING CA 96002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/84
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN TILLERY
Signature Title SECRETARY
Signature Date 2/26/18

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