FORM 1023-EZ for SECOND CHANCE AT LIFE INC

Field Data
EIN 81-4079030
Case Number EO-2018222-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND CHANCE AT LIFE INC
Organization’s Mailing Address 9783 HERONS NEST CT APT 308
City LAKE WORTH
State FL
ZIP 33467
Accounting period End 12
Primary contact name ROY GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARINE P GEORGE
PRESIDENT
9783 HERONS NEST CT APT 308
LAKE WORTH FL 33467

Officer/Director/Trustee Two

CARINE P GEORGE
VP
9783 HERONS NEST CT APT 308
LAKE WORTH FL 33467

Officer/Director/Trustee Three

ROY A GEORGE
D
9783 HERONS NEST CT APT 308
LAKE WORTH FL 33467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L30 - Housing Search Assistance
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 ROY A GEORGE
Signature Title D
Signature Date 8/8/18

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