FORM 1023-EZ for CAMPBELLS COUNSELING SERVICE
| Field | Data |
|---|---|
| EIN | 84-2445710 |
| Case Number | EO-2019218-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CAMPBELLS COUNSELING SERVICE |
| Organization’s Mailing Address | 1925 EUCLID AVE 103 |
| City | SAN DIEGO |
| State | CA |
| ZIP | 92105 |
| Accounting period End | 6 |
| Primary contact name | TOMI KELLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TOMI KELLY
CEO
20
SAN DIEGO CA 92105
Officer/Director/Trustee Two
VERNON BARNETT
VICE PRESIDENT
2985 EUCLID AVE 20
SAN DIEGO CA 92105
Officer/Director/Trustee Three
TOMI BARNETT
SECRETARY
2985 EUCLID AVE APT 20
SAN DIEGO CA 92105
Officer/Director/Trustee Four
STANLEY SINGLETON
CFO
2985 EUCLID AVE APT 20
SAN DIEGO CA 92105
Officer/Director/Trustee Five
TERRI BERCASIO
HUMAN RESOURCES
FAIRMONT AVE
SAN DIEGO CA 92105
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/22/19 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | TOMI KELLY |
| Signature Title | CEO |
| Signature Date | 8/2/19 |
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