FORM 1023-EZ for MAMA D 2ND CHANCE

Field Data
EIN 45-3166178
Case Number EO-2018337-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAMA D 2ND CHANCE
Organization’s Mailing Address 480 TOYON AVENUE SUITE 214
City SAN JOSE
State CA
ZIP 95127
Accounting period End 12
Primary contact name SHARON JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON JACKSON
EXECUTIVE DIRECTOR
480 TOYON AVENUE SUITE 214
SAN JOSE CA 95127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/11
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SHARON JACKSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/29/18

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