FORM 1023-EZ for PATHWAYS TO WELLNESS AND CHANGE INCORPORATED

Field Data
EIN 86-2580272
Case Number EO-2021099-001057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATHWAYS TO WELLNESS AND CHANGE INCORPORATED
Organization’s Mailing Address 3411 BETTERTON LANE
City CHARLOTTE
State NC
ZIP 28269-0154
Accounting period End 12
Primary contact name REGINALD GILKESSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD GILKESSON
PRESIDENT
3411 BETTERTON LANE
CHARLOTTE NC 28269-0154

Officer/Director/Trustee Two

WILLIAM BULLOCK
BOARD MEMBER
5700 EXECUTIVE DRIVE SUITE 101
CHARLOTTE NC 28212-8858

Officer/Director/Trustee Three

ANNETTE GILKESSON
SECRETARY
7118 GALLATIN LANE
CHARLOTTE NC 28213-2109

Officer/Director/Trustee Four

OSCEOLA THOMAS
BOARD MEMBER
9735 BAXTER CALDWELL DRIVE
CHARLOTTE NC 28213-4724

Officer/Director/Trustee Five

APRIL RAINER
TREASURER
8661 BEAVER CREEK DRIVE
CHARLOTTE NC 28269-2813

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 OSCEOLA THOMAS
Signature Title BOARD MEMBER
Signature Date 3/18/2021

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