FORM 1023-EZ for ONE LIFE COUNSELING CENTER

Field Data
EIN 81-0919786
Case Number EO-2015365-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE LIFE COUNSELING CENTER
Organization’s Mailing Address 961 LAUREL STREET SUITE 203
City SAN CARLOS
State CA
ZIP 94070
Accounting period End 12
Primary contact name SUZANNE HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUZANNE HUGHES
DIRECTOR
2023 BELLE AVE
SAN CARLOS CA 94070

Officer/Director/Trustee Two

ERIC HUGHES
TREASURER
2023 BELLE
SAN CARLOS CA 94070

Officer/Director/Trustee Three

KARI MENDICINO
SECRETARY
1512 WOODSIDE RD APT 5
REDWOOD CITY CA 94061

Officer/Director/Trustee Four

ANNIKA REINEMANN
BOARD OF DIRECTOR
680 WALNUT STREET
SAN CARLOS CA 94070

Officer/Director/Trustee Five

KRISTIN HENIGE
BOARD OF DIRECTOR
984 CEDAR STREET
SAN CARLOS CA 94070

Organization’s website WWW.ONELIFECOUNSELINGCENTER.COM
Organization’s email SBUDRICK@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 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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