FORM 1023-EZ for PAUSE INC PEDIATRIC ADOLESCENCE UNEXPECTED SITUATION EXCURSIONS

Field Data
EIN 36-4799286
Case Number EO-2015152-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAUSE INC PEDIATRIC ADOLESCENCE UNEXPECTED SITUATION EXCURSIONS
Organization’s Mailing Address 3027 PIKE DR
City RIVA
State MD
ZIP 21140
Accounting period End 12
Primary contact name JOAN PAWLOSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARTHA FOULAN - TONAT
BOARD CHAIR
118 HART RD
GAITHERSBURG MD 20878

Officer/Director/Trustee Two

AMANDA FROMWILLER
VICE CHAIR
87 MARYS MOUNT RD
HARWOOD MD 20776

Officer/Director/Trustee Three

JOAN PAWLOSKI
BOARD SECRETARY
3027 PIKE DR
RIVA MD 21140

Officer/Director/Trustee Four

CHRISTOPHER HALL
FOUNDER
3027 PIKE DR
RIVA MD 21140

Officer/Director/Trustee Five

ROCKY RHODES
BOARD TREASURER
MUELLER RD
COCHECTON NY 12726

Organization’s website
Organization’s email PAUSE.NONPROFIT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State MD
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: 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
Signature Title
Signature Date

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