FORM 1023-EZ for GRACE WORLDWIDE OUTREACH

Field Data
EIN 86-1659081
Case Number EO-2021085-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE WORLDWIDE OUTREACH
Organization’s Mailing Address 4146 DURWOOD DR
City COLUMBUS
State GA
ZIP 31907
Accounting period End 12
Primary contact name JOHN BURGESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BURGESS
CEO / SECRETARY
188 RAINBOW DR NO 8876
LIVINGSTON TX 77399

Officer/Director/Trustee Two

JOE SLAUGHTER
CFO / TREASURER
4146 DURWOOD DR
COLUMBUS GA 31907

Officer/Director/Trustee Three

ANDREW MACKENZIE
CHAIRPERSON
801 REEVES STATION RD SW
CALHOUN GA 30701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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 JOHN BURGESS
Signature Title CEO / SECRETARY
Signature Date 2/3/2021

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