FORM 1023-EZ for GRACIES PLACE INC

Field Data
EIN 81-3216498
Case Number EO-2016211-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACIES PLACE INC
Organization’s Mailing Address 4404 RIB MOUNTAIN DRIVE SUITE 143
City WAUSAU
State WI
ZIP 54401
Accounting period End 12
Primary contact name DEBRA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA ADAMS
DIRECTOR
4404 RIB MOUNTAIN DRIVE SUITE 143
WAUSAU WI 54401

Officer/Director/Trustee Two

PETER ADAMS
DIRECTOR
4404 RIB MOUNTAIN DRIVE SUITE 143
WAUSAU WI 54401

Officer/Director/Trustee Three

ROBERT WAY
DIRECTOR
4404 RIB MOUNTAIN DRIVE SUITE 143
WAUSAU WI 54401

Organization’s website WWW.GRACIES-PLACE.ORG
Organization’s email GRACIESPLACE2016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
One Third Support Gifts Yes
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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