FORM 1023-EZ for PATHWAYS HEALTH OF ALABAMA INC
| Field | Data |
|---|---|
| EIN | 83-3230522 |
| Case Number | EO-2019036-000960 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PATHWAYS HEALTH OF ALABAMA INC |
| Organization’s Mailing Address | 800 FLETCHER RD |
| City | ANDALUSIA |
| State | AL |
| ZIP | 36421 |
| Accounting period End | 12 |
| Primary contact name | ALFRED MCGUGIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PHILIP ADAMS
OFFICER
607 BREWTON ST
ANDALUSIA AL 36420
Officer/Director/Trustee Two
PATRICE MCCLAIN
OFFICER
119 KENTUCKY OAKS
MONTGOMERY AL 36117
Officer/Director/Trustee Three
ANN SHAKESPEARE
OFFICER
11164 PINE HILL RD
ANDALUSIA AL 36420
Officer/Director/Trustee Four
ALFRED MCGUGIN
CHIEF EXECUTIVE OFFICER
13922 LAKE MAGDALENE BLVD
TAMPA FL 33618
Officer/Director/Trustee Five
PATRICIA DANIELS
OFFICER
911 BEATRICE
ANDALUSIA AL 36420
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/14/19 |
| Organization Incorporation State | AL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| 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 | ALFRED MCGUGIN |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 1/22/19 |
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