FORM 1023-EZ for SECONDARY SUCCESS AND BEYOND

Field Data
EIN 85-2683705
Case Number EO-2020247-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECONDARY SUCCESS AND BEYOND
Organization’s Mailing Address 1643 N ALPINE RD SUITE 104
City ROCKFORD
State IL
ZIP 61107
Accounting period End 12
Primary contact name GABRIELLE SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY FOREMAN
OFFICER/DIRECTOR
3523 CAROLINA AVE
ROCKFORD IL 61108

Officer/Director/Trustee Two

NOUR KALBOUNEH
OFFICER/DIRECTOR
6955 S RIVERWOOD BOULEVARD UNIT 108
FRANKLIN WI 53132

Officer/Director/Trustee Three

GERARDO MEDINA
OFFICER/DIRECTOR
5059 W 30TH PLACE
CICERO IL 60804

Officer/Director/Trustee Four

GABRIELLE SIMS
EXECUTIVE DIRECTOR/OFFICER
5013 KELVINDALE ROAD UNIT C
LOVES PARK IL 61111

Organization’s website SECONDARYSUCCESSANDBEYOND.COM
Organization’s email SECONDARYSUCCESSANDBEYOND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 GABRIELLE SIMS
Signature Title EXECUTIVE DIRECTOR/OFFICER
Signature Date 9/1/2020

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