FORM 1023-EZ for SECOND CHANCE OUTREACH MISSION

Field Data
EIN 46-2828417
Case Number EO-2016305-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SECOND CHANCE OUTREACH MISSION
Organization’s Mailing Address 391 ALLISON CT
City YPSILANTI
State MI
ZIP 48198
Accounting period End 12
Primary contact name AGENA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKIE SMITH
TREASURER
6842 ABINGTON
DETROIT MI 48228

Officer/Director/Trustee Two

GREGORY MILLER
DIRECTOR
2038 KENDALL
DETROIT MI 48238

Officer/Director/Trustee Three

FRANCINE JOHNSON
SECRETARY
29363 LAUREL DR
FARMINGTON HILLS MI 48331

Officer/Director/Trustee Four

GARY LITTLETON
PRESIDENT
391 ALLSTON CT
YPSILANTI MI 48198

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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