FORM 1023-EZ for CREEK BEND CENTER FOR COUNSELING INC

Field Data
EIN 61-1774676
Case Number EO-2016280-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREEK BEND CENTER FOR COUNSELING INC
Organization’s Mailing Address 1850 S MIDLOTHIAN PARKWAY
City MIDLOTHIAN
State TX
ZIP 76065-7581
Accounting period End 12
Primary contact name TODD LINDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD LINDER
PRESIDENT, DIRECTOR
5840 JADE CT
MIDLOTHIAN TX 76065-6982

Officer/Director/Trustee Two

DAVID NORTHCUT
VICE PRESIDENT, DIRECTOR
611 SOUTH CLINTON LANE
MIDLOTHIAN TX 76065-6281

Officer/Director/Trustee Three

BENJAMEN CONDRAY
SECRETARY, DIRECTOR
3450 MINDY LANE
MIDLOTHIAN TX 76065-3720

Officer/Director/Trustee Four

JASON HARRISON
DIRECTOR
206 WHITE ROCK CT
OVILLA TX 75154-1883

Organization’s website WWW.CREEKBEND.ORG
Organization’s email INFO@CREEKBEND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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