FORM 1023-EZ for CC LEARNING CENTER AND MINISTRY INC

Field Data
EIN 90-0910437
Case Number EO-2015216-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CC LEARNING CENTER AND MINISTRY INC
Organization’s Mailing Address 609 W WAYNE APT 2
City SOUTH BEND
State IN
ZIP 46601
Accounting period End 12
Primary contact name HELEN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELEN JOHNSON
PRESIDENT, DIRECTOR
609 W WAYNE APT 2
SOUTH BEND IN 46601

Officer/Director/Trustee Two

TRACEY BASS
SECRETARY, DIRECTOR
1107 N HILL ST
SOUTH BEND IN 44617

Officer/Director/Trustee Three

JOANN CARTER
TREASURER, DIRECTOR
130 S MEADE
SOUTH BEND IN 46619

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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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