FORM 1023-EZ for GRACE RELIANT FAMILY FOUNDATION

Field Data
EIN 84-5100155
Case Number EO-2021077-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE RELIANT FAMILY FOUNDATION
Organization’s Mailing Address 2845 INDEPENDENCE ST
City CAPE GIRARDEAU
State MO
ZIP 63703
Accounting period End 12
Primary contact name SUSAN STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL DUER
PRESIDENT
1304 STATE HIGHWAY AD
DEXTER MO 63841-8246

Officer/Director/Trustee Two

JOLEAN DUER
SECRETARY
1304 STATE HIGHWAY AD
DEXTER MO 63841-8246

Officer/Director/Trustee Three

SUSAN STONE
TREASURER
1213 FAIRLANE DR
CAPE GIRARDEAU MO 63701-3652

Officer/Director/Trustee Four

CHELSEA CRIDDLE
BOARD MEMBER
2505 TULIP LN
CAPE GIRARDEAU MO 63701-3634

Officer/Director/Trustee Five

CODY CRIDDLE
BOARD MEMBER
2505 TULIP LN
CAPE GIRARDEAU MO 63701-3634

Organization’s website GRACERELIANT.COM
Organization’s email GRACEFAMILYFOUNDATION@GRHS-MO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN STONE
Signature Title TREASURER
Signature Date 1/20/2021

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