FORM 1023-EZ for SAVED WITH AMAZING GRACE INTERNATIONAL INC

Field Data
EIN 83-1245614
Case Number EO-2019030-000659
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVED WITH AMAZING GRACE INTERNATIONAL INC
Organization’s Mailing Address 530 ST MARY ROAD
City OSTEEN
State FL
ZIP 32764
Accounting period End 12
Primary contact name LARRY D CHAVERS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY D CHAVERS SR
PRESIDENT
530 ST MARY ROAD
OSTEEN FL 32764

Officer/Director/Trustee Two

SALLIE M COFFIE
TREASURY
P O BOX 307
OSTEEN FL 32764

Officer/Director/Trustee Three

JOHNIE DANIEL
VICE PRESIDENT
311 S DELAWARE AV
DELAND FL 32720

Officer/Director/Trustee Four

THERESA JORDAN
SECRETARY
2651 ARCADIA ST
DELTONA FL 32738

Officer/Director/Trustee Five

ALTHEA R CHAVERS
BOARD MEMBER
530 ST MARY ROAD
OSTEEN FL 32764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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 LARRY D CHAVERS SR
Signature Title PRESIDENT
Signature Date 12/27/18

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