FORM 1023-EZ for CAMP GRACE

Field Data
EIN 61-1637442
Case Number EO-2019060-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP GRACE
Organization’s Mailing Address 6646 LIBERTY HALL ROAD
City QUINTON
State VA
ZIP 23141
Accounting period End 12
Primary contact name NATALIE CLAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE CLAYTON
EXECUTIVE DIRECTOR
6646 LIBERTY HALL ROAD
QUINTON VA 23141

Officer/Director/Trustee Two

NATALIE CLAYTON
SECRETARY
6646 LIBERTY HALL ROAD
QUINTON VA 23141

Officer/Director/Trustee Three

ANGELA FRAME
DIRECTOR
3425 S HAIRPIN DRIVE
QUINTON VA 23141

Officer/Director/Trustee Four

JOHN FRAME
DIRECTOR
3425 S HAIRPIN DRIVE
QUINTON VA 23141

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/07
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 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 NATALIE CLAYTON
Signature Title SECRETARY
Signature Date 2/26/19

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