FORM 1023-EZ for GRACIOUSLY BROKEN MINISTRIES INC

Field Data
EIN 81-0765475
Case Number EO-2016028-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACIOUSLY BROKEN MINISTRIES INC
Organization’s Mailing Address 800 W PLILER PRECISE RD
City LONGVIEW
State TX
ZIP 75605-2937
Accounting period End 12
Primary contact name KELLY MARSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WAYNE NORVELL
DIRECTOR
4362 US HWY 259 N
LONGVIEW TX 75605-7674

Officer/Director/Trustee Two

WENDY TOMPKINS
DIRECTOR
PO BOX 6738
LONGVIEW TX 75608-6738

Officer/Director/Trustee Three

MATTHEW HARRIS
DIRECTOR
1100 JUDSON RD STE 722
LONGVIEW TX 75601-5156

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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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