FORM 1023-EZ for SECOND CHANCE SUPPORTIVE SERVICE INC

Field Data
EIN 85-3218665
Case Number EO-2020302-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SECOND CHANCE SUPPORTIVE SERVICE INC
Organization’s Mailing Address 10255 DWELL COURT
City ORLANDA
State FL
ZIP 32832
Accounting period End 12
Primary contact name JOSE ARIZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE ARIZA
CEO
10255 DWELL COURT
ORLANDO FL 32832

Officer/Director/Trustee Two

ARTHURO FERREIRA
DIRECTOR
990 RAMSEY DR
LUCAS TX 75002

Officer/Director/Trustee Three

TANNER KING
DIRECTOR
401 SHILOH RD
PLANO TX 75074

Officer/Director/Trustee Four

TIM SCHWANK
DIRECTOR
801 SOUTH BRIDGE FARMER RD
MCKINNEY TX 75059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 JOSE ARIZA
Signature Title CEO
Signature Date 10/26/2020

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