FORM 1023-EZ for PASEO SALUD MENTAL

Field Data
EIN 83-2031086
Case Number EO-2019036-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASEO SALUD MENTAL
Organization’s Mailing Address 526 ROUTE 507
City PAUPACK
State PA
ZIP 18451
Accounting period End 12
Primary contact name BRIEANNE K KOHRT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIEANNE KOHRT
PRESIDENT
1560 N DOWNING ST APT 25
DENVER CO 80218

Officer/Director/Trustee Two

DAVID MARTINEZ
VICE PRESIDENT
2130 FULTON STREET - COWELL 210
SAN FRANCISCO CA 94117-1080

Officer/Director/Trustee Three

JUAN PABLO PARODI
TREASURER
2510 W 29TH ST
DENVER CO 80211

Officer/Director/Trustee Four

SARA KANE
SECRETARY
133 NE 2ND AVE APT 1712
MIAMI FL 33132

Organization’s website WWW.PASEOPROGRAM.ORG
Organization’s email BRIEKOHRT@PASEOPROGRAM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
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 BRIEANNE KOHRT
Signature Title PRESIDENT
Signature Date 1/16/19

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