FORM 1023-EZ for GRACE FITNESS

Field Data
EIN 83-4304621
Case Number EO-2019105-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE FITNESS
Organization’s Mailing Address 2643 BEAVER AVENUE NUMBER 171
City DES MOINES
State IA
ZIP 50310
Accounting period End 12
Primary contact name ZAKIYA ENGLISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZAKIYA ENGLISH
EXECUTIVE DIRECTOR
2643 BEAVER AVENUE NUMBER 171
DES MOINES IA 50310

Officer/Director/Trustee Two

MANDY NEWTON-ROSENOW
DIRECTOR
2643 BEAVER AVENUE NUMBER 171
DES MOINES IA 50310

Officer/Director/Trustee Three

CLAUDIA HEADD
DIRECTOR
2643 BEAVER AVENUE NUMBER 171
DES MOINES IA 50310

Organization’s website N/A
Organization’s email GRACEFITNESSDSM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 ZAKIYA ENGLISH
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/11/19

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