FORM 1023-EZ for 2ND CHANCE OUTREACH

Field Data
EIN 80-0616119
Case Number EO-2017193-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 2ND CHANCE OUTREACH
Organization’s Mailing Address 7648 ZANE AVE - SUITE 213
City BROOKLYN PARK
State MN
ZIP 55443
Accounting period End 12
Primary contact name WILLIAM PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAMAR HODGES
PRESIDENT
2903 80TH AVE
BROOKLYN PARK MN 55443

Officer/Director/Trustee Two

CHAVEZ RUSSELL
BOARD MEMBER
4112 71ST AVE NORTH
BROOKLYN CENTER MN 55443

Officer/Director/Trustee Three

DENISE ANDREW
TREASURE
PO BOX 11341
MINNEAPIOLIS MN 55411

Officer/Director/Trustee Four

BRENDA THOMAS
SECRETARY
4281 46TH AVE NORTH - APT 232
ROBBINSDALE MN 55422

Officer/Director/Trustee Five

WILLIAM PIERCE
CEO
6321 83RD COURT
BROOKLYN PARK MN 55445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2012
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: No
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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