FORM 1023-EZ for GRIN GRANT

Field Data
EIN 87-1433277
Case Number EO-2021223-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRIN GRANT
Organization’s Mailing Address 2905 CANDLELIGHT WAY
City LEXINGTON
State KY
ZIP 40502
Accounting period End 12
Primary contact name MARY HELEN SHASHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY HELEN SHASHY
EXECUTIVE DIRECTOR
PO BOX 34051
LEXINGTON KY 40588

Officer/Director/Trustee Two

JAMES MUSGOVE
DIRECTOR
2420 PARTERRE PLACE
LEXINGTON KY 40504

Officer/Director/Trustee Three

DEREK VAUGHAN
DIRECTOR
916 THE CURTILAGE
LEXINGTON KY 40502

Organization’s website GRINGRANT.COM
Organization’s email MIRACLES@GRINGRANT.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 Yes
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 MARY HELEN SHASHY
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/9/2021

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