FORM 1023-EZ for A SECOND LOOK MINISTRY INC

Field Data
EIN 84-3503211
Case Number EO-2020017-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A SECOND LOOK MINISTRY INC
Organization’s Mailing Address 114 BIBLE CAMP ROAD
City LUCEDALE
State MS
ZIP 39452
Accounting period End 12
Primary contact name CODY S POE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN KILPATRICK
DIRECTOR
2319 OLD STAGE RD
GREENVILLE AL 36037-8617

Officer/Director/Trustee Two

BYRON SMITH
DIRECTOR
114 BIBLE CAMP ROAD
LUCEDALE MS 36452-7859

Officer/Director/Trustee Three

DWAYNE PATTON
DIRECTOR
6104 MORNINGSIDE DRIVE
VANCLEVE MS 39565-6657

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2019
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 BYRON SMITH
Signature Title DIRECTOR
Signature Date 1/15/2020

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