FORM 1023-EZ for GRACE WORSHIP AND COMMUNITY CENTERINC

Field Data
EIN 83-1244231
Case Number EO-2018200-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE WORSHIP AND COMMUNITY CENTERINC
Organization’s Mailing Address 810 VIRGINIA LANE
City HULL
State GA
ZIP 30646
Accounting period End 12
Primary contact name REMBERT FORTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REMBERT FORTSON
PRESIDENT
810 VIRGINIA LANE
HULL GA 30646

Officer/Director/Trustee Two

LARRY HARPER
VICE PRESIDENT
160 HUNTERS POINT DR
ATHENS GA 30606

Officer/Director/Trustee Three

OJONG ODIDI
SECRETARY
219 LAKE POINT PLACE
MARIETTA GA 30067

Officer/Director/Trustee Four

THOMAS JEWELL
TREASURER
810 VIRGINIA LANE
ATLANTA GA 30311

Officer/Director/Trustee Five

KELVIN WATERS
BOARD MEMBER
P O BOX 674404
LITHONIA GA 30311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State GA
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 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 REMBERT FORTSON
Signature Title PRESIDENT
Signature Date 7/17/18
EIN 83-1244231
Case Number EO-2018200-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE WORSHIP AND COMMUNITY CENTER INC
Organization’s Mailing Address 810 VIRGINIA LANE
City HULL
State GA
ZIP 30646
Accounting period End 12
Primary contact name REMBERT FORTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REMBERT FORTSON
PRESIDENT
810 VIRGINIA LANE
HULL GA 30646

Officer/Director/Trustee Two

LARRY HARPER
VICE PRESIDENT
160 HUNTERS POINT DR
ATHENS GA 30606

Officer/Director/Trustee Three

OJONG ODIDI
SECRETARY
219 LAKE POINT PLACE
MARIETTA GA 30067

Officer/Director/Trustee Four

THOMAS JEWELL
TREASURER
810 VIRGINIA LANE
ATLANTA GA 30311

Officer/Director/Trustee Five

KELVIN WATERS
BOARD MEMBER
P O BOX 674404
LITHONIA GA 30311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State GA
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 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 REMBERT FORTSON
Signature Title PRESIDENT
Signature Date 7/17/18

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