FORM 1023-EZ for ZIGGYS SECOND CHANCE NETWORK

Field Data
EIN 45-5512949
Case Number EO-2015344-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZIGGYS SECOND CHANCE NETWORK
Organization’s Mailing Address 300 HOLSTON AVENUE
City ELIZABETHTON
State TN
ZIP 37643
Accounting period End 6
Primary contact name JESSICA ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA ROGERS
PRESIDENT/DIRECTOR
105 MOUNTAIN VIEW DR APT 18
JOHNSON CITY TN 37601

Officer/Director/Trustee Two

JEFF WILLIAMS
SECRETARY/DIRECTOR
300 HOLSTON AVENUE
ELIZABETHTON TN 37643

Officer/Director/Trustee Three

STACEY HENDRICKSON
VICE PRESIDENT/DIRECTOR
473 MERCANTILE RD
MCCLELLANVILLE SC 29458

Officer/Director/Trustee Four

ERIC ROGERS
ADOPTION COORDINATOR/DIRECTOR
105 MOUNTAIN VIEW DR APT 18
JOHNSON CITY TN 37601

Organization’s website
Organization’s email ZIGGYSSECONDCHANCENETWORK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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