FORM 1023-EZ for CREATIVE PATHWAYS INDY INC

Field Data
EIN 81-4130785
Case Number EO-2017116-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATIVE PATHWAYS INDY INC
Organization’s Mailing Address 9702 E WASHINGTON ST-STE 400-190
City INDIANAPOLIS
State IN
ZIP 46229
Accounting period End 12
Primary contact name BRYAN REDDING - ATTORNEY AT LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE SCHREIBMAN
EXEC. DIRECTOR
9702 E WASHINGTON ST STE 400-190
INDIANAPOLIS IN 46229

Officer/Director/Trustee Two

STEPHANIE SHANK
SECRETARY / DIRECTOR
9702 E WASHINGTON ST STE 400-190
INDIANAPOLIS IN 46229

Officer/Director/Trustee Three

TJ HENGST
TREASURER / DIRECTOR
9702 E WASHINGTON ST STE 400-190
INDIANAPOLIS IN 46229

Officer/Director/Trustee Four

KATHY PELLMAN
DIRECTOR
9702 E WASHINGTON ST STE 400-190
INDIANAPOLIS IN 46229

Officer/Director/Trustee Five

SCOTT WILSON
DIRECTOR
9702 E WASHINGTON ST STE 400-190
INDIANAPOLIS IN 46229

Organization’s website WWW.CRATIVEPATHWAYSINDY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 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
Signature Title
Signature Date

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