FORM 1023-EZ for GRACE HIGH MINISTRIES INC

Field Data
EIN 47-1752371
Case Number EO-2015198-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE HIGH MINISTRIES INC
Organization’s Mailing Address 2652 KEYSER DRIVE
City STOCKTON
State CA
ZIP 95212-2890
Accounting period End 6
Primary contact name JENNIFER GRAY-WYMBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER GRAY-WYMBS
PRESIDENT
2652 KEYSER DR
STOCKTON CA 95212-2890

Officer/Director/Trustee Two

YOLANDO COOKSEY
VICE PRESIDENT
350 NORTH UNION ROAD APT67
MANTECA CA 95337-4308

Officer/Director/Trustee Three

ROSIE BILBRO-STARKS
TREASURE
2652 KEYSER DRIVE
STOCKTON CA 95212-2890

Officer/Director/Trustee Four

KLA WYMBS
SECRETARY
2652 KEYSER DRIVE
STOCKTON CA 95212-2890

Officer/Director/Trustee Five

DIANNE ALLEN
MEMBER
9425 TUSCANY CIRCLE
STOCKTON CA 95210-1650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
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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