FORM 1023-EZ for A SECOND CHANCE AT LIFE INC

Field Data
EIN 85-2612004
Case Number EO-2020295-000768
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A SECOND CHANCE AT LIFE INC
Organization’s Mailing Address 137 WISHING WELL CIRCLE
City PALM BAY
State FL
ZIP 32908
Accounting period End 7
Primary contact name MICHELLE CURRIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVONNE HARRISON
PRESIDENT
140 WISHING WELL CIRCLE
PALM BAY FL 32908

Officer/Director/Trustee Two

MICHELLE CURRIE
SECRETARY
137 WISHING WELL CIRCLE
PALM BAY FL 32908

Officer/Director/Trustee Three

BARBARA LOVING
TREASURER
137 WISHING WELL CIRCLE
PALM BAY FL 32908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy Organizations
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 YVONNE HARRISON
Signature Title PRESIDENT
Signature Date 10/14/2020

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