FORM 1023-EZ for CAREGIVER PATHWAYS INC

Field Data
EIN 82-2234540
Case Number EO-2018120-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAREGIVER PATHWAYS INC
Organization’s Mailing Address 4727 MEADOWOOD WAY
City FAIR OAKS
State CA
ZIP 95628
Accounting period End 6
Primary contact name REBECCA GRAULICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JOHNSON
BOARD MEMBER
2783 17TH STREET
SACRAMENTO CA 95818

Officer/Director/Trustee Two

JILLIAN SMITH
BOARD MEMBER
2533 FURMINT WAY
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Three

KERI VOGTMANN
BOARD MEMBER
2068 BRANDING IRON WAY
FOLSOM CA 95630

Officer/Director/Trustee Four

DEBRA MORROW
BOARD MEMBER
554 37TH STREET
SACRAMENTO CA 95816

Officer/Director/Trustee Five

REBECCA GRAULICH
CHIEF EXECUTIVE OFFICER
4727 MEADOWOOD WAY
FAIR OAKS CA 95628

Organization’s website
Organization’s email REBECCA@CAREGIVERPATHWAYS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 REBECCA GRAULICH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/27/18

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