FORM 1023-EZ for FRESH START PROGRAM INC

Field Data
EIN 81-3736128
Case Number EO-2016253-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRESH START PROGRAM INC
Organization’s Mailing Address 2311 SOUTH AVENUE SUITE 1
City YOUNGSTOWN
State OH
ZIP 44502
Accounting period End 12
Primary contact name SIDDIQ SALAHUDDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIDDIQ SALAHUDDIN
PRESIDENT AND TREASURER
2520 VOLNEY ROAD
YOUNGSTOWN OH 44511

Officer/Director/Trustee Two

PATRICIA LEE
SECRETARY
3090 OAKVALE HTS
DECATUR GA 30034

Officer/Director/Trustee Three

MICHAEL HAMLETT
DIRECTOR AND VICE PRESIDENT
134 ROSLYN DRIVE
YOUNGSTOWN OH 44505

Officer/Director/Trustee Four

JERMAINE TAYLOR
DIRECTOR
14 STAR MAGNOLIA COURT
BEAUFORT SC 29907

Officer/Director/Trustee Five

DARRIEN BALLINGER
DIRECTOR
116 EAST FORIDA
YOUNGSTOWN OH 44507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
Organization’s purpose Charitable: Yes
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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