FORM 1023-EZ for GRACE & MERCY FOUNDATION

Field Data
EIN 83-1891805
Case Number EO-2018262-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE & MERCY FOUNDATION
Organization’s Mailing Address 13587 ASHLAND ROAD
City ASHLAND
State VA
ZIP 23005
Accounting period End 12
Primary contact name KENNETH BARNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH BARNEY
PRESIDENT
13587 ASHLAND ROAD
ASHLAND VA 23005

Officer/Director/Trustee Two

DEVINE BARNEY
VICE PRESIDENT
13587 ASHLAND ROAD
ASHLAND VA 23005

Organization’s website
Organization’s email S-BKKPG@MINDSPRING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L12 - Fund Raising and/or Fund Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH BARNEY
Signature Title PRESIDENT
Signature Date 9/17/18

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