FORM 1023-EZ for SAVING GRACE MISSION

Field Data
EIN 81-4363902
Case Number EO-2020279-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVING GRACE MISSION
Organization’s Mailing Address 1029 ANDERSON GROVE RD
City CALEDONIA
State MS
ZIP 39740
Accounting period End 6
Primary contact name JULIA CHAVEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERTHA EZQUIVEL FONSECA
DIRECTOR
2176 HWY 373 LOT46
COLUMBUS MS 39705

Officer/Director/Trustee Two

MICHELLE FORREST
SECRETARY
336 LOBLOLLY
CALEDONIA MS 39740

Officer/Director/Trustee Three

IMELDA CARRANZA
TREASURER
1906 RIDGE RD
COLUMBUS MS 39705

Officer/Director/Trustee Four

REGINA LOPEZ
ADMINISTRATIVE DIRECTOR
2319 5TH AVE N
COLUMBUS MS 39701

Officer/Director/Trustee Five

JULIA CHAVEZ
EXECUTIVE DIRECTOR
1029 ANDERSON GROVE RD
CALEDONIA MS 39740

Organization’s website
Organization’s email 1984GONZALES@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2020
Organization Incorporation State MS
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JULIA CHAVEZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/2/2020

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