FORM 1023-EZ for RACHELL L GRAY COMMUNITY FOUNDATION

Field Data
EIN 81-4676992
Case Number EO-2017045-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACHELL L GRAY COMMUNITY FOUNDATION
Organization’s Mailing Address 4411 HOLBROOK ROAD
City RANDALLSTOWN
State MD
ZIP 21133
Accounting period End 12
Primary contact name ROSLYN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSLYN JONES
BOARD PRESIDENT
4411 HOLBROOK RD
RANDALLSTOWN MD 21133

Officer/Director/Trustee Two

KEITH JONES
ASST BOARD PRESIDENT
4411 HOLBROOK RD
RANDALLSTOWN MD 21133

Officer/Director/Trustee Three

BENITA JOHNSON
SECRETARY
MONROE ST
BALTIMORE MD 21217

Officer/Director/Trustee Four

LEROY THOMAS
CHAPLAIN
2 MACCONNACHY SQ
GWYNN OAK MD 21207

Officer/Director/Trustee Five

GARY CHASE
FINANCE SECRETARY
7324 KELLY LOOP
FORT MEADE MD 21075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
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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