FORM 1023-EZ for FIFTH CHANCE INC

Field Data
EIN 87-2070484
Case Number EO-2021224-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIFTH CHANCE INC
Organization’s Mailing Address 1682 HWY 160
City WESTVILLE
State FL
ZIP 32464
Accounting period End 12
Primary contact name ULRIKE STEINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SEARCY
PRESIDENT
1682 HWY 160
WESTVILLE FL 32464

Officer/Director/Trustee Two

LAMONT ENNIS
VICE PRESIDENT
1682 HWY 160
WESTVILLE FL 32464

Officer/Director/Trustee Three

ALTON GLOVER
SECRETARY - TREASURER
1682 HWY 160
WESTVILLE FL 32464

Officer/Director/Trustee Four

ALAN ENGLISH
BOARD MEMBER
1682 HWY 160
WESTVILLE FL 32464

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ALTON GLOVER
Signature Title SECRETARY - TREASURER
Signature Date 8/10/2021

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