FORM 1023-EZ for GRACE VISION CENTER SERVICES INC

Field Data
EIN 84-3323366
Case Number EO-2020029-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE VISION CENTER SERVICES INC
Organization’s Mailing Address 5540 N MICHIGAN RD
City INDIANAPOLIS
State IN
ZIP 46260
Accounting period End 12
Primary contact name GREGORY KUHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMANUEL MUSINGA
PRESIDENT
18282 RICKETY DR
WESTFILED IN 46074

Officer/Director/Trustee Two

GREGORY KUHN
TREASURER
11951 GLEN COVE CT
INDIANAPOLIS IN 46236-9008

Officer/Director/Trustee Three

CLEMENTINE MUSINGA
DIRECTOR
18282 RICKETY DR
WESTFIELD IN 46074

Officer/Director/Trustee Four

DAVID MUNYAMAHORO
DIRECTOR
1634 LANCASHIRE CT UNIT H
INDIANAPOLIS IN 46260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 GREGORY KUHN
Signature Title TREASURER
Signature Date 1/27/2020

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