FORM 1023-EZ for GRINS FOR FREE

Field Data
EIN 26-3203527
Case Number EO-2018130-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRINS FOR FREE
Organization’s Mailing Address 490 B WEST ZIA ROAD
City SANTA FE
State NM
ZIP 87505
Accounting period End 12
Primary contact name JACOB PRISHKULNIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB PRISHKULNIK
DIRECTOR, PRESIDENT
490 B WEST ZIA ROAD
SANTA FE NM 87505

Officer/Director/Trustee Two

ELIZABETH PRISHKULNIK
DIRECTOR
490 B WEST ZIA ROAD
SANTA FE NM 87505

Officer/Director/Trustee Three

JY PRISHKULNIK
DIRECTOR, SV. VP
2721 PRADERA
SANTA FE NM 87505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/08
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACOB PRISHKULNIK
Signature Title DIRECTOR, PRESIDENT
Signature Date 5/7/18

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