FORM 1023-EZ for 1003 PATHS TO WELLNESS

Field Data
EIN 82-3103965
Case Number EO-2020228-000011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1003 PATHS TO WELLNESS
Organization’s Mailing Address 1003 HOLLINGER ST
City PARK RAPIDS
State MN
ZIP 56470
Accounting period End 12
Primary contact name DEBORAH JEANNE FARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH FARRELL
OFFICER
1003 HOLLINGER ST
PARK RAPIDS MN 56470

Officer/Director/Trustee Two

DAWN PAPPAS
OFFICER
1003 HOLLINGER ST
PARK RAPIDS MN 56470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH FARRELL
Signature Title OFFICER
Signature Date 8/12/2020
EIN 82-3103965
Case Number EO-2017292-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1003 PATHS TO WELLNESS INC
Organization’s Mailing Address 1003 HOLLINGER STREET
City PARK RAPIDS
State MN
ZIP 56470
Accounting period End 12
Primary contact name DEBORAH FARRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH JEANNE FARRELL
OFFICER
1003 HOLLINGER ST
PARK RAPIDS MN 56470

Officer/Director/Trustee Two

DAWN PAPPAS
OFFICER
1003 HOLLINGER ST
PARK RAPIDS MN 56470

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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
Signature Title
Signature Date

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