FORM 1023-EZ for GRACE & MERCY SOBER LIVING MINISTRIES INC

Field Data
EIN 47-3693911
Case Number EO-2021063-001194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE & MERCY SOBER LIVING MINISTRIES INC
Organization’s Mailing Address 7931 S ESCANABA
City CHICAGO
State IL
ZIP 60617
Accounting period End 12
Primary contact name OSSIE LOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD MOSS
VICE PRESIDENT
4835 TRAKE WAY
ELLENWOOD GA 30294

Officer/Director/Trustee Two

JESSICA REMI-ADEOYE
SECRETARY
23801 W CORONA AVENUE
BUCKEYE AZ 85326

Officer/Director/Trustee Three

AMELIA LOCK
TREASURER
4045 W BELL ROAD 2030
PHOENIX AZ 85053

Officer/Director/Trustee Four

NAOMI MOSS
ASSISTANT VICE PRESIDENT
5906 EMERALD POINT DRIVE
PLAINFIELD IL 60586

Officer/Director/Trustee Five

OSSIE LOCK
FOUNDER
4385 TRAKE WAY
ELLENWOOD GA 30294

Organization’s website
Organization’s email GRACEMERCYSOBER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 OSSIE LOCK
Signature Title FOUNDER
Signature Date 11/7/2020

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