FORM 1023-EZ for GRENELEFE COUNTRY HOMES FELLOWSHIP SOCIETY INC

Field Data
EIN 81-3954469
Case Number EO-2017132-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRENELEFE COUNTRY HOMES FELLOWSHIP SOCIETY INC
Organization’s Mailing Address 17 ROBYN LANE
City HAINES CITY
State FL
ZIP 33884
Accounting period End 12
Primary contact name CHRISTOPHER DESROCHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY THOMPSON
PRESIDENT; SECRETARY;DIRECTOR
17 ROBYN LANE
HAINES CITY FL 33884

Officer/Director/Trustee Two

PAT ALEXANDER
TREASURER; DIRECTOR
105 CANTERBURY DR
HAINES CITY FL 33884

Officer/Director/Trustee Three

TIM PERESADA
DIRECTOR
104 CANTERBURY DR
HAINES CITY FL 33884

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State FL
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: Yes
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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