FORM 1023-EZ for SECOND OPINION INITIATIVE

Field Data
EIN 84-3197266
Case Number EO-2019277-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND OPINION INITIATIVE
Organization’s Mailing Address 305 SHADY LANE
City AZLE
State TX
ZIP 76020-3235
Accounting period End 12
Primary contact name FRANCOISE ROFFLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCOISE ROFFLER
PRESIDENT
305 SHADY LANE
AZLE TX 76020-3235

Officer/Director/Trustee Two

NATASHA WILSON
VICE-PRESIDENT
305 SHADY LANE
AZLE TX 76020-3235

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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 No
Correctness Declaration Yes
Signature Name FRANCOISE ROFFLER
Signature Title PRESIDENT
Signature Date 10/1/19

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