FORM 1023-EZ for PHOENIX COUNSELING AND ASSESSMENT CENTER INC

Field Data
EIN 81-4866801
Case Number EO-2017104-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHOENIX COUNSELING AND ASSESSMENT CENTER INC
Organization’s Mailing Address 32 E CHEROKEE SUITE 104
City MCALESTER
State OK
ZIP 74501
Accounting period End 12
Primary contact name ALICE BECKHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE BECKHAM
DIRECTOR
1024 W BREWER AVE
MCALESTER OK 74501

Officer/Director/Trustee Two

HANNAH PEARSON
CHAIRMAN
1024 W BREWER AVE
MCALESTER OK 74501

Officer/Director/Trustee Three

KENDALL CARANO
VICE-CHAIRMAN
95 NW OSAGE
KREBS OK 74554

Officer/Director/Trustee Four

GENE CARANO
TREASURER/ SECRETARY
397 NE CREEK
MCALESTER OK 74501

Officer/Director/Trustee Five

STACY BIRCHFIELD
BOARD MEMBER
45 OAK HOLLOW
EUFAULA OK 74432

Organization’s website
Organization’s email PHOENIXCOUNSELING74501@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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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