FORM 1023-EZ for AGAPE SECOND CHANCE CORPORATION

Field Data
EIN 47-1202188
Case Number EO-2014245-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGAPE SECOND CHANCE CORPORATION
Organization’s Mailing Address 9757 FRANKFORT ROAD
City HOLLAND
State OH
ZIP 43528
Accounting period End 12
Primary contact name PASTOR ARTHUR J BATTLE ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY BOOSE
BOARD PRESIDENT
953 HIALEA CT
HOLLAND OH 43528

Officer/Director/Trustee Two

TERRENCE POUNDS
BOARD VICE PRESIDENT
7331 SIOUX TRAIL
HOLLAND OH 43528

Officer/Director/Trustee Three

KIMBERLY WOODARD
BOARD SECRETARY
626 N BYRNE ROAD
TOLEDO OH 43607

Officer/Director/Trustee Four

DAWN MCDONALD
BOARD TREASURER
324 OAK HILL COURT
HOLLAND OH 43528

Officer/Director/Trustee Five

REGINA WHITTINGTON
BOARD MEMBER
3815 HEATHERBROOK DRIVE
TOLEDO OH 43614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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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