FORM 1023-EZ for GRACEFULLY MADE WHOLE

Field Data
EIN 85-2074621
Case Number EO-2020210-000534
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACEFULLY MADE WHOLE
Organization’s Mailing Address 3530 PRINCETON KENLY ROAD
City KENLY
State NC
ZIP 27542
Accounting period End 12
Primary contact name DAPHINE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAPHINE SMITH
PRESIDENT/OWNER
3530 PRINCETON KENLY ROAD
KENLY NC 27542

Organization’s website
Organization’s email GRACEFULLYMADEWHOLE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 DAPHINE SMITH
Signature Title PRESIDENT/OWNER
Signature Date 7/24/2020

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