FORM 1023-EZ for CAN I BE REAL COUNSELING SERVICES

Field Data
EIN 47-1975189
Case Number EO-2019234-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAN I BE REAL COUNSELING SERVICES
Organization’s Mailing Address PO BOX 6045
City GRAND RAPIDS
State MI
ZIP 49516
Accounting period End 12
Primary contact name MOZELLA MAYWEATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOZELLA MAYWEATHER
PRESIDENT
PO BOX 6045
GRAND RAPIDS MI 49516

Officer/Director/Trustee Two

CHARLINA GARRISON
DIRECTOR
PO BOX 6045
GRAND RAPIDS MI 49516

Officer/Director/Trustee Three

GAIL CHAMBLISS
DIRECTOR
PO BOX 6045
GRAND RAPIDS MI 49516

Officer/Director/Trustee Four

LINDA ESKRIDGE
DIRECTOR
PO BOX 6045
GRAND RAPIDS MI 49516

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/14
Organization Incorporation State MI
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: 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 Yes
Correctness Declaration Yes
Signature Name MOZELLA MAYWEATHER
Signature Title PRESIDENT
Signature Date 8/20/19
EIN 47-1975189
Case Number EO-2016159-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAN I BE REAL COUNSELING SERVICES
Organization’s Mailing Address PO BOX 68315
City GRAND RAPIDS
State MI
ZIP 49505
Accounting period End 12
Primary contact name MOZELLA MAYWEATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOZELLA MAYWEATHER
PRESIDENT
1527 BURKE AVE NE
GRAND RAPIDS MI 49505-5378

Officer/Director/Trustee Two

SUSAN RACINE
OFFICER
1527 BURKE AVE NE
GRAND RAPIDS MI 49508

Officer/Director/Trustee Three

LINDA ESKRIDGE
DIRECTOR
302 SHERMAN ST
JOLIET IL 60433

Officer/Director/Trustee Four

GAIL CHAMBLISS
DIRECTOR
1010 ALPINE NW APT 2
GRAND RAPIDS MI 49504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2014
Organization Incorporation State MI
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: 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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