FORM 1023-EZ for PEREGRINE COUNSELING AND WELLNESS
| Field | Data |
|---|---|
| EIN | 84-1934626 |
| Case Number | EO-2020023-000437 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PEREGRINE COUNSELING AND WELLNESS |
| Organization’s Mailing Address | 8811 E HAMPDEN AVE SUITE 100 |
| City | DENVER |
| State | CT |
| ZIP | 80231-4931 |
| Accounting period End | 12 |
| Primary contact name | ADRIENNE PETRIE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ADRIENNE PETRIE
PRESIDENT
1963 S DOWNING ST
DENVER CO 80210-4124
Officer/Director/Trustee Two
RIANNA JOYCE
VICE PRESIDENT
8707 E FLORIDA AVE UNIT 204
DENVER CO 80247-2838
Officer/Director/Trustee Three
LOIS JOYCE
SECRETARY
PO BOX 585
ERIE CO 80516-0561
Officer/Director/Trustee Four
JEFFERY PETRIE
TREASURER
5310 CRAFTSMAN DR
PARKER CO 80134-4538
Officer/Director/Trustee Five
SYDNEY JOHNSTON
DIRECTOR
3620 ST PAUL ST
DENVER CO 80205-3650
| Organization’s website | WWW.PEREGRINECOUNSELING.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/2019 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | 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 | ADRIENNE PETRIE |
| Signature Title | PRESIDENT |
| Signature Date | 1/21/2020 |
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