FORM 1023-EZ for NEW CHANCE HUMAN SERVICES INC

Field Data
EIN 45-4639052
Case Number EO-2016256-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW CHANCE HUMAN SERVICES INC
Organization’s Mailing Address 5285 E WILLIAMS CIRCLE SUITE 4500
City TUCSON
State AZ
ZIP 85711
Accounting period End 12
Primary contact name JOEL BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT RUSTAND
DIRECTOR
5285 E WILLIAMS CIRCLE SUITE 4500
TUCSON AZ 85749-7711

Officer/Director/Trustee Two

JOEL BLACK
DIRECTOR
5285 E WILLIAMS CIRCLE SUITE 4500
TUCSON AZ 85749-7711

Officer/Director/Trustee Three

JOSEPH HICKLE
DIRECTOR
5285 E WILLIAMS CIRCLE SUITE 4500
TUCSON AZ 85749-7711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2012
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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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