FORM 1023-EZ for CONSCIOUS CLARITY CENTER INC

Field Data
EIN 46-3380206
Case Number EO-2018074-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSCIOUS CLARITY CENTER INC
Organization’s Mailing Address 7977 S SHORESIDE DR
City TRAVERSE CITY
State MI
ZIP 49684-9569
Accounting period End 12
Primary contact name TERRANCE SWEJKOSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE SWEJKOSKI
PRESIDENT/CEO
7977 S SHORESIDE DR
TRAVERSE CITY MI 49684-9569

Officer/Director/Trustee Two

KAREN PETERSEN
TREASURER/CFO/SECRETARY
7977 S SHORESIDE DR
TRAVERSE CITY MI 49684-9569

Officer/Director/Trustee Three

PHILLIP SWEJKOSKI
DIRECTOR SCIENTIFIC RESEARCH
7977 S SHORESIDE DR
TRAVERSE CITY MI 49684-9569

Organization’s website HTTPS://CONSCIOUSCLARITYCENTER.ORG
Organization’s email CONSCIOUSCLARITYCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/15
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B28 - Specialized Education Institutions
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 TERRANCE SWEJKOSKI
Signature Title PRESIDENT/CEO
Signature Date 3/13/18

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