FORM 1023-EZ for SECOND CHANCE MENTORING

Field Data
EIN 87-1087784
Case Number EO-2021257-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND CHANCE MENTORING
Organization’s Mailing Address 412 E MONYCASTLE DRIVE SUITE H
City GREENSBORO
State NC
ZIP 27406
Accounting period End 5
Primary contact name ARNETTA BLACKMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARNETTA BLACKMON
DIRECTOR
412 E MONTCASTLE DR APT H
GREENSBORO NC 27406

Officer/Director/Trustee Two

MARQUEST FREEMAN
BOARD MEMBER
708 WISE ST
HIGH POINT NC 27260

Officer/Director/Trustee Three

LEVERN BLACKMON
BOARD MEMBER
412 E MONTCASTLE DR APT H
GREENSBORO NC 27406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 ARNETTA BLACKMON
Signature Title DIRECTOR
Signature Date 9/10/2021

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