FORM 1023-EZ for SECOND CHANCE AT RENEWING SELF INC

Field Data
EIN 81-5242228
Case Number EO-2017079-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SECOND CHANCE AT RENEWING SELF INC
Organization’s Mailing Address 5151 WHETSTONE ROAD
City N CHESTERFIELD
State VA
ZIP 23234
Accounting period End 12
Primary contact name SONJA HOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONJA HOLT
PRESIDENT
5151 WHETSTONE ROAD
N CHESTERFIELD VA 23234

Officer/Director/Trustee Two

DAWN HOWARD
SECRETARY
5111 ANDRADELL LANE
CHESTERFIELD VA 23832

Officer/Director/Trustee Three

DANIQUE MCGUIRE
TREASURER
6412 LABONTE COURT
RICHMOND VA 23231

Officer/Director/Trustee Four

TIYONA WILSON
DIRECTOR
9736 RANSOM HILLS TERRACE
N CHESTERFIELD VA 23237

Officer/Director/Trustee Five

TIFFANY ROBINSON
DIRECTOR
1636 RAYANNE DRIVE
N CHESTERFIELD VA 23235

Organization’s website WWW.SCARSORG.COM
Organization’s email S.HOLT@SCARSORG.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 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
Signature Title
Signature Date

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