FORM 1023-EZ for CARING PATHWAYS OF CARROLLTON

Field Data
EIN 82-5443344
Case Number EO-2018150-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARING PATHWAYS OF CARROLLTON
Organization’s Mailing Address 2611 HARBINGER LN
City DALLAS
State TX
ZIP 75287
Accounting period End 12
Primary contact name LETA NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAN KELSAY
PRESIDENT, DIRECTOR
2611 HARBINGER LN
DALLAS TX 75287

Officer/Director/Trustee Two

SUSAN JAMIESON
SECRETARY, DIRECTOR
2144 ROBIN RD
LEWISVILLE TX 75077

Officer/Director/Trustee Three

JENNIFER MCGURK
TREASURER, DIRECTOR
11706 PINE FOREST DR
DALLAS TX 75230

Officer/Director/Trustee Four

LETA NELSON
DIRECTOR
4008 SAINT JOHNS CIR
CARROLLTON TX 75010

Officer/Director/Trustee Five

KAREN FISCHER
DIRECTOR
3922 STEEPLERIDGE DR
THE COLONY TX 75056

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/18
Organization Incorporation State TX
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: Yes
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 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 JAN KELSAY
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/24/18

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