FORM 1023-EZ for PATHMOS FOUNDATION INC

Field Data
EIN 47-1491535
Case Number EO-2015043-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATHMOS FOUNDATION INC
Organization’s Mailing Address 701 ROYAL COURT
City CHARLOTTE
State NC
ZIP 28202
Accounting period End 12
Primary contact name CHIGOZIE STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATE ODIKESIEME
TRUSTEE DIRECTOR
1021 EAST 87TH STREET APT 6-C
BROOKLYN NY 11236

Officer/Director/Trustee Two

MARGARET DANIELLE STEPHENS
TRUSTEE DIRECTOR
701 ROYAL COURT SUITE 602
CHARLOTTE NC 28202

Officer/Director/Trustee Three

ALEXIS HOLLINGER-GARCIA
TRUSTEE DIRECTOR
34 FAIRVIEW STREET
HUNTINGTON NY 11743

Officer/Director/Trustee Four

CHIGOZIE STEPHENS
TRUSTEE DIRECTOR
701 ROYAL COURT SUITE 602
CHARLOTTE NC 28202

Organization’s website WWW.PATHMOS.ORG
Organization’s email INFO@PATHMOS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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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