FORM 1023-EZ for ADONAIS SECOND CHANCES INC

Field Data
EIN 84-3099454
Case Number EO-2019266-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADONAIS SECOND CHANCES INC
Organization’s Mailing Address 12017 TIMBERHILL DRIVE
City RIVERVIEW
State FL
ZIP 33569
Accounting period End 12
Primary contact name KAREN J SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN SIMS
PRESIDENT
12017
RIVERVIEW FL 33569

Officer/Director/Trustee Two

LEROY SIMS
VICE PRESIDENT/TREASURY
12017 TIMBERHILL DRIVE
RIVERVIEW FL 33569

Officer/Director/Trustee Three

EDYTHE MUMFORD
SECRETARY
12017 TIMBERHILL DRIVE
RIVERVIEW FL 33569

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J01 - Alliance/Advocacy Organizations
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 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 KAREN SIMS
Signature Title PRESIDENT
Signature Date 9/19/19

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