FORM 1023-EZ for A SECOND WIND FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2342738 |
| Case Number | EO-2019205-000231 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | A SECOND WIND FOUNDATION |
| Organization’s Mailing Address | 132 WESTROCK FARM DR |
| City | UNION |
| State | OH |
| ZIP | 45322 |
| Accounting period End | 12 |
| Primary contact name | TEAIRA N MALLORY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TEAIRA MALLORY
PRESIDENT/ SECRETARY
132 WESTROCK FARM DR
UNION OH 45322-8731
Officer/Director/Trustee Two
ROSE JONES
CHIEF FINANCIAL OFFICER
451 EASTDALE DR
DAYTON OH 45415-2913
Officer/Director/Trustee Three
BRENDA BAILEY
CHAIRPERSON OF THE GOVERNING BODY
4366 SATELLITE AVE
DAYTON OH 45415-1821
Officer/Director/Trustee Four
KEANA THOMPSON
DIRECTOR
2218 GRANT AVE
DAYTON OH 45406
Officer/Director/Trustee Five
MUSA FURR
DIRECTOR
3323 MONTPELIER DR
DAYTON OH 45440
| Organization’s website | N/A |
|---|---|
| Organization’s email | MSMALLORY@YMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/9/19 |
| Organization Incorporation State | OH |
| 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: 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TEAIRA MALLORY |
| Signature Title | PRESIDENT/ SECRETARY |
| Signature Date | 7/22/19 |
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