FORM 1023-EZ for MICHIGANS SECOND CHANCE

Field Data
EIN 82-3194216
Case Number EO-2018057-000593
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIGANS SECOND CHANCE
Organization’s Mailing Address 1574 TILLINGSDALE DRIVE
City KALAMAZOO
State MI
ZIP 49009
Accounting period End 12
Primary contact name TIMOTHY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY ANDERSON
PRESIDENT
1574 TILLINGSDALE DRIVE
KALAMAZOO MI 49009

Officer/Director/Trustee Two

AMBER DOMINGUEZ
SECRETARY
3052 S BURDICK STREET
KALAMAZOO MI 49001

Officer/Director/Trustee Three

TEMORREN ANDERSON
TREASURER
1574 TILLINGSDALE DRIVE
KALAMAZOO MI 49009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
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 TIMOTHY ANDERSON
Signature Title PRESIDENT
Signature Date 2/24/18

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