FORM 1023-EZ for GRACE 4 HAITI

Field Data
EIN 47-5627402
Case Number EO-2018270-000531
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE 4 HAITI
Organization’s Mailing Address 1815 EAST 9800 SOUTH
City SANDY
State UT
ZIP 84092
Accounting period End 12
Primary contact name CHERYL MASINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL MASINELLI
PRESIDENT
9335 BRIGHTON VIEW
SANDY UT 84070

Officer/Director/Trustee Two

DEBBIE SCHMIDT
TREASURER
10197 COUNTRYWOOD
SANDY UT 84092

Officer/Director/Trustee Three

BOB SCHMIDT
VICE PRESIDENT
10197 COUNTRY WOOD
SANDY UT 84092

Officer/Director/Trustee Four

ANTHONY MASINELLI
BOARD MEMBER
9335 S BRIGHTON VIEW
SANDY UT 84070

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/15
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHERYL MASINELLI
Signature Title PRESIDENT
Signature Date 9/25/18
EIN 47-5627402
Case Number EO-2016027-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE 4 HAITI
Organization’s Mailing Address 1815 EAST 9800 SOUTH
City SANDY
State UT
ZIP 84092
Accounting period End 12
Primary contact name CHERYL MASINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL MASINELLI
PRESIDENT
9335 SOUTH BRIGHTON VIEW
SANDY UT 84070

Officer/Director/Trustee Two

DEBBIE SCHMIDT
TREASURER
10197 COUNTRYWOOD DR
SANDY UT 84092

Officer/Director/Trustee Three

SHELLY DAVIS
SECRETARY
5860 SOUTH 1900 EAST
SALT LAKE CITY UT 84121

Officer/Director/Trustee Four

BOB SCHMIDT
VICE PRESIDENT
10197 COUNTRYWOOD
SANDY UT 84092

Organization’s website
Organization’s email GRACE4HAITI@GRACESANDY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State UM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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