FORM 1023-EZ for SAVED BY GRACE OUTREACH MINISTRY

Field Data
EIN 87-1220365
Case Number EO-2021172-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVED BY GRACE OUTREACH MINISTRY
Organization’s Mailing Address 3278 PARKWOOD BLVD UNIT 47
City KANSAS CITY
State KS
ZIP 66104
Accounting period End 12
Primary contact name MICHAEL COZART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA KOUNTZ
PRESIDENT
3278 PARKWOOD BLVD UNIT 47
KANSAS CITY KS 66104

Officer/Director/Trustee Two

TRACY FUNCHES
VICE PRESIDENT
1407 N 5TH STREET
KANSAS CITY KS 66101

Officer/Director/Trustee Three

DEBORAH KOUNTZ
SECRETARY
5128 LEAVENWORTH APT M
KANSAS CITY KS 66104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2021
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 MELISSA KOUNTZ
Signature Title PRESIDENT
Signature Date 6/17/2021

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