FORM 1023-EZ for BLEND COUNSELING NETWORK INC

Field Data
EIN 83-4015523
Case Number EO-2019133-000666
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLEND COUNSELING NETWORK INC
Organization’s Mailing Address 21812 AINSLEY COURT
City BROADLANDS
State VA
ZIP 20148
Accounting period End 12
Primary contact name TRACEY D POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY POWELL
DIRECTOR
21812 AINSELY
BROADLANDS VA 20148

Officer/Director/Trustee Two

MARGUERITE BACKHAUSEN
SECRETARY
21553 CENTER POINT CIRCLE
BROADLANDS VA 20147

Organization’s website WWW.BLENDCOUNSELINGNETWORK.ORG
Organization’s email BLENDCOUNSELINGNETWORK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State VA
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: No
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 Yes
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 TRACEY POWELL
Signature Title DIRECTOR
Signature Date 5/11/19

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