FORM 1023-EZ for GRACIOUS LIFE INITIATIVE

Field Data
EIN 87-2314410
Case Number EO-2021242-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACIOUS LIFE INITIATIVE
Organization’s Mailing Address 1601 LOIS COURT
City GENEVA
State IL
ZIP 60134
Accounting period End 12
Primary contact name REBECCA HOLOMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA HOLOMAN
EXECUTIVE DIRECTOR
1601 LOIS COURT
GENEVA IL 60134

Organization’s website
Organization’s email REBECCA@GRACIOUSLIFEINITIATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 REBECCA HOLOMAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/26/2021

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