FORM 1023-EZ for THIRD CHANCE FOUNDATION

Field Data
EIN 47-4594655
Case Number EO-2015243-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THIRD CHANCE FOUNDATION
Organization’s Mailing Address 31 BLUE SKY DR
City WRIGHTSVILLE
State PA
ZIP 17368
Accounting period End 12
Primary contact name ELIZABETH COURTRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH COURTRIGHT
PRESIDENT, DIRECTOR
31 BLUE SKY DR
WRIGHTVILLE PA 17368

Officer/Director/Trustee Two

SEAN RAJNIC
SECRETARY, DIRECTOR
3611 PEREGRINE CIR
MOUNTVILLE PA 17554

Officer/Director/Trustee Three

KENNETH GEPHART
TREASURER, DIRECTOR
813 W MAIN ST
MOUNT JOY PA 17552

Officer/Director/Trustee Four

DARBY CAMPBELL
DIRECTOR
3105 LAKEFIELD RD
YORK PA 17402

Officer/Director/Trustee Five

MAGGIE SHEVELEW
DIRECTOR
69 BLUE SKY DR
WRIGHTSVILLE PA 17368

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State PA
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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