2025-10-22T08:29:19-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2023-01-01 923898284 CLEAN SLATE INITIATIVE INC CLEA 4152766586 5728 MAJOR BLVD ORLANDO FL 32819 SHEENA MEADE CHIEF EXECUTIVE OFFICER 4152766586 2025-10-01 1 1 CATHERINE PETERCSAK P01357092 5167472000 2025-09-30 2023 2025-03-06 01:10:19Z X SHEENA MEADE 5728 MAJOR BLVD ORLANDO FL 32819 71104675 0 X WWW.CLEANSLATEINITIATIVE.ORG X 2023 FL THE CLEAN SLATE INITIATIVE PASSES AND IMPLEMENTS LAWS THAT AUTOMATICALLY CLEAR ELIGIBLE RECORDS FOR PEOPLE WHO HAVE COMPLETED THEIR SENTENCE AND REMAINED CRIME-FREE, AND EXPANDS WHO IS ELIGIBLE FOR CLEARANCE. 4 4 0 4 0 0 0 71104675 0 0 0 0 0 0 0 71104675 0 2149988 0 0 0 0 0 0 0 0 40470 0 2190458 0 68914217 0 71104675 0 2190458 0 68914217 THE CLEAN SLATE INITIATIVE PASSES AND IMPLEMENTS LAWS THAT AUTOMATICALLY CLEAR ELIGIBLE RECORDS FOR PEOPLE WHO HAVE COMPLETED THEIR SENTENCE AND REMAINED CRIME-FREE, AND EXPANDS WHO IS ELIGIBLE FOR CLEARANCE. 0 0 2174488 2149988 THE CLEAN SLATE INITIATIVE ORGANIZATION WAS IN PROCESS OF STARTING OPERATIONS IN 2023 AFTER RECEIVING APPROVAL AS AN EXEMPT ORGANIZATION EFFECTIVE APRIL 21, 2023 UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) FROM THE IRS AND RECEIVED SOME INITIAL FUNDING DIRECTED THROUGH ITS FISCAL SPONSOR, NEW VENTURE FUND, A 501(3) NONPROFIT ORGANIZATION. THE CLEAN SLATE INITIATIVE PROVIDED GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. 2174488 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X KENYA BROWNING 4152766586 5728 MAJOR BLVD 705 ORLANDO FL 32819 X SHEENA MEADE DIRECTOR & CEO 0.50 0.00 X X 0 0 0 DARYL ATKINSON DIRECTOR & BOARD CHAIR 0.50 0.00 X X 0 0 0 DAVID SAFAVIAN DIRECTOR & SECRETARY 0.50 0.00 X X 0 0 0 JOLENE FORMAN DIRECTOR & TREASURER 0.50 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 71104675 71104675 71104675 0 0 0 2149988 2149988 3221 3221 12749 12749 24500 24500 2190458 2174488 15970 0 0 36527910 0 34576765 0 71104675 0 40470 0 2149988 0 2190458 X 0 52698746 0 16215471 0 68914217 0 71104675 68914217 0 X 0 0 0 X 71104675 71104675 71104675 71104675 7556195 63548480 71104675 X SCHEDULE A, PART II, SECTION A, COLUMN E: THE INFORMATION IN COLUMN E REPRESENTS A SHORT YEAR PERIOD FROM APRIL 21, 2023 TO DECEMBER 31, 2023. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 CODE FOR AMERICA 972 MISSION ST 5TH FLOOR SAN FRANCISCO CA 94103 271067272 501C3 1333333 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. EMPOWER MO 1750 JEFFERSON ST 104900 JEFFERSON CITY MO 63110 440547548 501C3 140000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. FAITH AND FREEDOM 3235 SATELLITE BLVD STE 575 DULUTH GA 30096 270182697 501C4 120000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. CLEAN SLATE UTAH 275 EAST 200 SOUTH SALT LAKE CITY UT 84111 871471899 501C3 100000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. ACLU DELAWARE 100 WEST 10TH STREET SUITE 706 WILMINGTON DE 19801 510220856 501C3 100000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY 2195 HEARST AVENUE 120 BERKELEY CA 94709 946002123 GOVERNMENT 86455 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. CONECT PO BOX 4298 1744 DIXWELL AVE HAMDEN CT 06514 061392836 501C3 80000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. GREATER BOSTON LEGAL 197 FRIEND STREET BOSTON MA 02114 042103907 501C3 80000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. MISSOURI WORKERS CENTER PO BOX 63002 SAINT LOUIS MO 63163 863339847 501C3 70200 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. DELAWARE CENTER FOR JUSTICE 100 WEST 10TH STREET SUITE 905 WILMINGTON DE 19801 510064323 501C3 40000 0 THE CLEAN SLATE INITIATIVE PROVIDES GRANTS TO ORGANIZATIONS IN SUPPORT OF ITS WORK TOWARD ADVANCING AUTOMATED RECORD CLEARANCE LEGISLATION THAT REMOVES BARRIERS TO EMPLOYMENT, HOUSING, AND EDUCATION FOR MILLIONS OF ELIGIBLE AMERICANS WITH CRIMINAL RECORDS. 9 1 PART I, LINE 2: THE ORGANIZATION FOLLOWS A GRANT APPROVAL PROCESS THROUGH THE REVIEW AND APPROVAL OF CAMPAIGN PLANS (PROJECT PLANS SUBMITTED TO THE PROGRAM TEAMS). BASED ON THOSE PROJECT PLANS, AND IN COMBINATION WITH FISCAL DUE DILIGENCE DONE ON EACH GRANTEE, GRANTS MAY BE APPROVED AS APPLICABLE. FORM 990, AMENDED RETURN: THE ORGANIZATION ORIGINALLY FILED FORM 990-N FOR THE YEAR-ENDING DECEMBER 31, 2023. IT WAS DETERMINED DURING THE FINANCIAL STATEMENT AUDIT FOR THE YEAR-ENDING DECEMBER 31, 2024 THAT FUNDING WAS RECEIVED IN CALENDAR YEAR 2023 FROM THE ORGANIZATION'S FISCAL SPONSOR, NEW VENTURE FUND, AND OTHER FOUNDATIONS THAT WAS IN EXCESS OF $50,000. THE ORGANIZATION DETERMINED THAT A FULL FORM 990 SHOULD HAVE BEEN FILED FOR THE YEAR-ENDING DECEMBER 31, 2023 AND IS COMPLETING THIS AMENDED RETURN TO REPORT THIS ACTIVITY. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION AT ANY GIVEN TIME SHALL BE THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AT SUCH TIME. THE CORPORATION'S MEMBERS SHALL HAVE NO ADDITIONAL VOTING RIGHTS OR RESPONSIBILITIES ARISING FROM THEIR STATUS AS SUCH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER AND THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION. THE FINAL APPROVED COPY OF THE FORM 990 IS THEN DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH COVERED PERSON SHALL PROMPTLY AND FULLY DISCLOSE ALL MATERIAL FACTS OF EVERY ACTUAL OR POTENTIAL CONFLICT OF INTEREST: 1) EXISTING AT THE TIME WHEN THEY BECOME A COVERED PERSON. 2) THAT ARISES WHILE THEY ARE A COVERED PERSON, AT THE TIME SUCH ACTUAL OR POTENTIAL CONFLICT ARISES; AND 3) ANNUALLY THROUGH THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. EACH COVERED PERSON SHALL SIGN A STATEMENT ACKNOWLEDGING THAT THEY HAVE RECEIVED A COPY OF THIS POLICY, HAVE READ AND UNDERSTAND IT, AND AGREE TO COMPLY WITH IT. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THIS POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 DETERMINATION OF THE ORGANIZATION'S COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND THE CHIEF FINANCIAL OFFICER WILL BE BASED ON REVIEW AND APPROVAL PROCEDURES, WHICH INCLUDES COMPARABILITY DATA, BY THE ORGANIZATION'S BOARD OF DIRECTORS. ALL DECISIONS REGARDING COMPENSATION WILL BE DOCUMENTED IN WRITING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 1A: DURING ITS INITIAL START UP YEAR IN CALENDAR YEAR 2023, THE ORGANIZATION'S BOARD OF DIRECTORS SERVED SOLELY AS AN ADVISORY BOARD WHILE UNDER THE FISCAL SPONSORSHIP OF NEW VENTURE FUND, A 501(C)(3) NONPROFIT ORGANIZATION. CLEAN SLATE NOW INC 5728 MAJOR BLVD SUITE 705 ORLANDO FL 32819 932098205 SOCIAL WELFARE AND ADVOCACY FL 501(C)(4) CLEAN SLATE INITIATIVE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0