FORM 1023-EZ for GRACED FOR LIFE INCORPORATED

Field Data
EIN 84-4294131
Case Number EO-2020069-000482
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACED FOR LIFE INCORPORATED
Organization’s Mailing Address 10614 W PIMA STREET
City TOLLESON
State AZ
ZIP 85353
Accounting period End 12
Primary contact name LA WANDA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LA WANDA THOMAS
DIRECTOR AND PRESIDENT
10614 W PIMA STREET
TOLLESON AZ 85353

Officer/Director/Trustee Two

BREEJIA MCNEAL
DIRECTOR/VP/TREASURER
7429 S 40TH LANE
PHOENIX AZ 85041

Officer/Director/Trustee Three

ERIKA JAMES
DIRECTOR
720 MIMOSA TRL
CEDAR HILL TX 75104

Officer/Director/Trustee Four

RUBY PAYTON
DIRECTOR
16011 W SUNNYSIDE DRIVE UNIT 105
PHOENIX AZ 85029

Officer/Director/Trustee Five

LATRENA JEFFERSON
DIRECTOR
11337 W PINEHOLLOW DRIVE
SURPRISE AZ 85378

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2019
Organization Incorporation State AZ
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: 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 LA WANDA THOMAS
Signature Title DIRECTOR AND PRESIDENT
Signature Date 3/6/2020

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