FORM 1023-EZ for HAYWOOD PATHWAYS CENTER

Field Data
EIN 47-2608669
Case Number EO-2014363-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYWOOD PATHWAYS CENTER
Organization’s Mailing Address PO BOX 1272
City WAYNESVILLE
State NC
ZIP 28786
Accounting period End 12
Primary contact name NICHOLAS L HONERKAMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLAS HONERKAMP
PRESIDENT
128 CAMELOT DR
Clyde NC 28721

Officer/Director/Trustee Two

PERRY HINES
VICE-PRESIDENT
32 COMMERCE STREET
WAYNESVILLE NC 28786

Officer/Director/Trustee Three

MINDY WOOD
SECRETARY
654 WOODS ROAD
WAYNESVILLE NC 28785

Officer/Director/Trustee Four

JIMMY HAYNES
MEMBER
960 IRON DUFF ROAD
WAYNESVILLE NC 28785

Officer/Director/Trustee Five

GREG CHRISTOPHER
MEMBER
208 OAK RIDGE DRIVE
CLYDE NC 28721

Organization’s website HAYWOODPATHWAYSCENTER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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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