FORM 1023-EZ for SECOND FORMATION INC

Field Data
EIN 84-4761107
Case Number EO-2020055-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND FORMATION INC
Organization’s Mailing Address 2158 45TH STREET SUITE117
City HIGHLAND
State IN
ZIP 46322
Accounting period End 12
Primary contact name DENESHIA OVERTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIA MEZHER
VICE PRESIDENT
3550 N LAKE SHORE DR APT 2625
CHICAGO IL 60657

Officer/Director/Trustee Two

KASON WALLACE
PRESIDENT
2158 45TH STREET SUITE117
HIGHLAND IN 46322

Officer/Director/Trustee Three

TENESHIA BRASS
CFO
548 E 162ND ST
SOUTH HOLLAND IL 60473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
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 JULIA MEZHER
Signature Title VICE PRESIDENT
Signature Date 2/20/2020

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