FORM 1023-EZ for CHILDBIRTH PATHS INTERNATIONAL INC

Field Data
EIN 81-3403551
Case Number EO-2016229-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDBIRTH PATHS INTERNATIONAL INC
Organization’s Mailing Address 2575 N TOLEDO BLADE BLVD UNIT 3
City NORTH PORT
State FL
ZIP 34289-9350
Accounting period End 12
Primary contact name KINGSTONE GOVATI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY ELLIOTT
PRESIDENT
6349 LANGLEY PLACE ROAD
PENSACOLA FL 32504-8386

Officer/Director/Trustee Two

TODD SCHUCHMANN
BOARD MEMBER
857 BABIAN ROAD
NORTH PORT FL 34291-4655

Officer/Director/Trustee Three

MARGARET HOLLINGSWORTH
TREASURER
111 SEGAR STREET
HAMPTON VA 23663-1825

Officer/Director/Trustee Four

STEVE WOOD
BOARD MEMBER
107 O HARA DRIVE
WARNER ROBINS GA 31088-2537

Officer/Director/Trustee Five

MARIA NOTH
BOARD MEMBER
1720 N COMMERCE STREET APT 118
MILWAUKEE WI 53212-4042

Organization’s website WWW.CHILDBIRTHPATHSINTERNATIONAL.ORG
Organization’s email AMYELLIOTT@CHILDBIRTHPATHSINTERNATIONAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2016
Organization Incorporation State FL
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: Yes
Scientific: Yes
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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