FORM 1023-EZ for CHAPTER 2 A NEW BEGINNING INC

Field Data
EIN 82-0926421
Case Number EO-2017107-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAPTER 2 A NEW BEGINNING INC
Organization’s Mailing Address 4506 JUNCTION DR
City MIDDLEBURG
State FL
ZIP 32068
Accounting period End 12
Primary contact name TIMOTHY BRODERICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN BRODERICK
PRESIDENT
4506 JUNCTION DR
MIDDLEBURG FL 32068

Officer/Director/Trustee Two

TIMOTHY BRODERICK
VICE PRESIDENT
4506 JUNCTION DR
MIDDLEBURG FL 32068

Officer/Director/Trustee Three

WILLIAM WESTRATE
SECRETARY
328 PLANTATION CIRCLE
PONTE VEDRA BEACH FL 32082

Officer/Director/Trustee Four

MARK KELM
TREASERER
1610 MAJESTIC VIEW LANE
FLEMING ISLAND FL 32003

Officer/Director/Trustee Five

LAMAR DOUBERLY
BOARD MEMBER
2302 EAGLE HARBOR PARKWAY
FLEMING ISLAND FL 32003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention 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 Yes
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
Signature Title
Signature Date

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