FORM 1023-EZ for ROADS TO HEALTH

Field Data
EIN 47-3400338
Case Number EO-2017115-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROADS TO HEALTH
Organization’s Mailing Address 539 CONSTITUTION COURT
City GALLOWAY
State NJ
ZIP 08205-3244
Accounting period End 12
Primary contact name JALLAH KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JALLAH KENNEDY
BOARD PRESIDENT/EXECUTIVE DIRECTOR
539 CONSTITUTION COURT
GALLOWAY NJ 08205

Officer/Director/Trustee Two

ANGELINE JABLASONE
TREASURER/BOARD MEMBER
614 VALLEY RUN
BEAR DE 19701

Officer/Director/Trustee Three

ROBERT GAYGAY
SECRETARY/BOARD MEMBER
8919 E 60TH STREET
TULSA OK 74145

Officer/Director/Trustee Four

MOSES YOKO
BOARD MEMBER
6709 81ST AVENUE NORTH
BROOKLYN PARK MN 55445

Officer/Director/Trustee Five

CATHERINE JOHNSON
BOARD MEMBER
4375 157TH COURT WEST
ROSEMOUNT MN 55068

Organization’s website WWW.RTHEALTH.ORG
Organization’s email INFO@RTHEALTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2015
Organization Incorporation State NJ
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: 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 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 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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