SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
CREATIVE COUNSELING & INTERVENTION
SERVICES INC
Employer identification number

45-5635731
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 2 KRISTTEN BUTTERMORE GARIN BUTTERMORE PRESIDENT DIRECTOR SPOUSE
FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF FORM 990 IS SHARED WITH THE PRESIDENT FOR REVIEW, APPROVAL AND SIGNATURE BEFORE IT IS FILED. A COPY OF FORM 990 IS ALSO PROVIDED TO THE BOARD FOR REVIEW.
FORM 990, PAGE 6, PART VI, LINE 19 CREATIVE COUSELING & INTERVENTION SERVICES, INC MAKES ITS GOVERNING DOCUMENTS AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUIEST.
FORM 990, PART IX, LINE 11G OUTSIDE SERVICES 24,480 0 0
FORM 990, PART XI, LINE 9 PRIOR PERIOD ADJUSTMENT 2,494 TOTAL 2,494
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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