FORM 1023-EZ for CHRYSALIS CONSULTING CENTER FOR CLERGY
| Field | Data |
|---|---|
| EIN | 85-1081445 |
| Case Number | EO-2020142-000170 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CHRYSALIS CONSULTING CENTER FOR CLERGY |
| Organization’s Mailing Address | 808 MANZANO ST NE |
| City | ALBUQUERQUE |
| State | NM |
| ZIP | 87110 |
| Accounting period End | 12 |
| Primary contact name | KELLY BROOKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BROOKE BAKER
CHAIR
5223 DEER MEADOW TR NW
ALBUQUERQUE NM 87120
Officer/Director/Trustee Two
AMBER MATTINGLY
SECRETARY
5322 CREEK SHADOWS DRIVE
KINGWOOD TX 77339
Officer/Director/Trustee Three
PETER EVANS
TREASURE
2366 BAYLESS WAY
SACRAMENTO CA 95835
Officer/Director/Trustee Four
JENNA CRABB
DIRECTOR
1900 REDONDO PEAK DR NW
ALBUQUERQUE NM 87120
Officer/Director/Trustee Five
JONATHAN DRUMMOND
DIRECTOR
420 S KNOBLOCK
STILLWATER OK 74074
| Organization’s website | |
|---|---|
| Organization’s email | CHRYSALISCOUNSULTINGLLC2020@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/18/2020 |
| Organization Incorporation State | NM |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BROOKE BAKER |
| Signature Title | CHAIR |
| Signature Date | 5/19/2020 |
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