FORM 1023-EZ for PATH 2 LIFE

Field Data
EIN 61-1862886
Case Number EO-2018169-000881
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATH 2 LIFE
Organization’s Mailing Address 1320 PELEM COURT
City STOCKTON
State CA
ZIP 95203
Accounting period End 12
Primary contact name MALIKA MASOUDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALIKA MASOUDA
CEO/PRESIDENT
1320 PELEM COURT
STOCKTON CA 95203

Officer/Director/Trustee Two

AMY GRANT
CFO/TREASURER
2998 CALLE DEL SOL WAY
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Three

PHILIP DOUGLAS
COO/VICE PRESIDENT
20898 LOCUST ST
HAYWARD CA 94545

Officer/Director/Trustee Four

JUSTINE DOUGLAS
SECRETARY
9515 D STREET
OAKLAND CA 94603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MALIKA MASOUDA
Signature Title CEO/PRESIDENT
Signature Date 6/16/18

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