FORM 1023-EZ for REFLECTIVE SOLUTIONS COUNSELING

Field Data
EIN 47-4974325
Case Number EO-2016130-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFLECTIVE SOLUTIONS COUNSELING
Organization’s Mailing Address 110 MARGINAL WAY 185
City PORTLAND
State ME
ZIP 04101
Accounting period End 12
Primary contact name CAITLIN ELDRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN HUDSON
DIRECTOR
1251 CONGRESS ST UNIT 304
PORTLAND ME 04102

Officer/Director/Trustee Two

WAYNE PRINTY
DIRECTOR
125 DUTTON HILL
GRAY ME 04039

Officer/Director/Trustee Three

CHRISTOPHER ELDRIDGE
DIRECTOR
24 KESWICK RD
SOUTH PORTLAND ME 04106

Officer/Director/Trustee Four

KEITH RILEY
CHIEF EXECUTIVE OFFICER
1251 CONGRESS ST UNIT 304
PORTLAND ME 04102

Officer/Director/Trustee Five

CAITLIN ELDRIDGE
CHIEF OPERATING OFFICER
24 KESWICK RD
SOUTH PORTLAND ME 04106

Organization’s website
Organization’s email REFLECTIVESOLUTIONS2015@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/2015
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 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
Signature Title
Signature Date

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