FORM 1023-EZ for 2ND CHANCE COMMUNITY HEALTH SERVICES INC

Field Data
EIN 83-2274245
Case Number EO-2018297-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 2ND CHANCE COMMUNITY HEALTH SERVICES INC
Organization’s Mailing Address 1541 SE PORT SAINT LUCIE BLVD
City PORT ST LUCIE
State FL
ZIP 34952
Accounting period End 12
Primary contact name JOHNNY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY BROWN
PRESIDENT
2493 SW FALCON CIR
PORT ST LUCIE FL 34953

Officer/Director/Trustee Two

DOROTHY PRICHET
SECRETARY
1220 SW 85TH TERRACE
PEMBROKE PINES FL 33025

Officer/Director/Trustee Three

DIANE CUIRVEN
TREASURER
4200 NW 3RD COURT APT 137
PLANTATION FL 33317

Officer/Director/Trustee Four

JOHNN BROWN II
VICE PRESIDENT
7098 NW 49TH PLACE
LAUDERHILL FL 33319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 JOHNNY BROWN
Signature Title PRESIDENT
Signature Date 10/22/18

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