FORM 1023-EZ for SECOND CHANCE EMPOWERMENT FOUNDATION INC

Field Data
EIN 85-1962092
Case Number EO-2020206-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND CHANCE EMPOWERMENT FOUNDATION INC
Organization’s Mailing Address 661 17TH AVENUE SOUTH
City ST PETERSBURG
State FL
ZIP 33701
Accounting period End 9
Primary contact name ELIZABETH SIPLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAHDE WILLIAMS
PRESIDENT
661 17TH AVENUE SOUTH
ST PETERSBURG FL 33701

Officer/Director/Trustee Two

LONDON THOMAS
SECRETARY
2701 NEABSCO COMMON PLACE 236
WOODBRIDGE VA 22191

Officer/Director/Trustee Three

LYNN ROBERTS
TREASURER
10 BLACKWELL STREET
FORT RUCKER AL 36362

Officer/Director/Trustee Four

LORETTA CALDWELL
OFFICER
151 8TH STREET NORTH
ST PETERSBURG FL 33701

Officer/Director/Trustee Five

ZARY VAZQUEZ
OFFICER
535 BRIARWOOD CIRCLE
NORTH PRINCE GA 23860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAHDE WILLIAMS
Signature Title PRESIDENT
Signature Date 7/22/2020

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