FORM 1023-EZ for TWICE BORN INC

Field Data
EIN 85-3415799
Case Number EO-2020297-000434
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWICE BORN INC
Organization’s Mailing Address 217 MURRAY ST
City NEW SMYRNA BEACH
State FL
ZIP 32168
Accounting period End 10
Primary contact name MIKE BAYLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BAYLY
PRESIDENT
217 MURRAY ST
NEW SMYRNA BEACH FL 32168

Officer/Director/Trustee Two

CHARLES ENGLING
BOARD
217 MURRAY ST
NEW SMYRNA BEACH FL 32168

Officer/Director/Trustee Three

KEITH WEST
BOARD MEMBER
148 IMPERIAL AVE
BENNINGTON VT 05201

Officer/Director/Trustee Four

TOM BAYLY
BOARD
615 STONELEDGE
STATE COLLEGE PA 05201

Organization’s website www.twiceborn.net
Organization’s email twicebornminisry@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BAYLY
Signature Title PRESIDENT
Signature Date 10/20/2020

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