FORM 1023-EZ for PATHWAVES FOUNDATION INC

Field Data
EIN 83-1241015
Case Number EO-2018222-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATHWAVES FOUNDATION INC
Organization’s Mailing Address 13611 SO DIXIE HIGHWAY UNIT 331
City MIAMI
State FL
ZIP 33176
Accounting period End 12
Primary contact name SONJA HENNIGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY LOUISE COLE-WOOD
PRESIDENT
8082 SW 173RD TERRACE
MIAMI FL 33157

Officer/Director/Trustee Two

ANA MARGARITA MARTINEZ
VICE-PRESIDENT
6702 SO WATERWAY DRIVE
MIAMI FL 33155

Officer/Director/Trustee Three

GEOFFREY COLE
REGISTERED AGENT
13611 SO DIXIE HIGHWAY UNIT 331
MIAMI FL 33176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 Yes
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 GEOFFREY COLE
Signature Title REGISTERED AGENT
Signature Date 8/8/18

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