FORM 1023-EZ for GRACE ALIVE

Field Data
EIN 81-1850535
Case Number EO-2021083-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE ALIVE
Organization’s Mailing Address 4533 CUSHING ROAD
City HOLLYWOOD
State SC
ZIP 29449-6023
Accounting period End 12
Primary contact name ANGEL HUGIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELO HUGIE
PRESIDENT
111 BANTRY CIRCLE
CHARLESTON SC 29449-8089

Officer/Director/Trustee Two

CERRISSA HUGIE
TREASURER
111 BANTRY CIRCLE
CHARLESTON SC 29449-8089

Officer/Director/Trustee Three

LEROY KELLEY
SECRETARY
837 DELVERTON ROAD
COLUMBIA SC 29203-3624

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State SC
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 ANGELO HUGIE
Signature Title PRESIDENT
Signature Date 11/17/2020
EIN 81-1850535
Case Number EO-2016081-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE ALIVE
Organization’s Mailing Address 263 TATHOM ROAD
City EASTOVER
State SC
ZIP 29044
Accounting period End 12
Primary contact name ANGELO HUGIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELO HUGIE
PRESIDENT
263 TATHOM ROAD
EASTOVER SC 29044

Officer/Director/Trustee Two

CERRISSA HUGIE
TREASURER
263 TATHOM ROAD
EASTOVER SC 29044

Officer/Director/Trustee Three

LEROY KELLEY
SECRETARY
837 DELVERTON ROAD
COLUMBIA SC 29203-9356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2016
Organization Incorporation State SC
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
Signature Title
Signature Date

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