FORM 1023-EZ for FRESH START RE-ENTRY PROGRAM

Field Data
EIN 83-1189304
Case Number EO-2018199-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH START RE-ENTRY PROGRAM
Organization’s Mailing Address 3743 E HWY 98 UNIT B
City PANAMA CITY
State FL
ZIP 32404
Accounting period End 12
Primary contact name DR TAMMY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY ANDERSON
EXECUTIVE DIRECTOR
112 SANTEE DR
PANAMA CITY FL 32404

Officer/Director/Trustee Two

DEXTER ANDERSON
PRESIDENT
112 SANTEE DR
PANAMA CITY FL 32404

Officer/Director/Trustee Three

DETRA GAINER
VICE PRESIDENT
1614 LINCOLN AVE
PANAMA CITY FL 32405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 TAMMY ANDERSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/16/18

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