FORM 1023-EZ for HADASSAH GRACE FOUNDATION INC

Field Data
EIN 84-4224601
Case Number EO-2020300-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HADASSAH GRACE FOUNDATION INC
Organization’s Mailing Address 253 WYNGATE DR
City FREDERICK
State DC
ZIP 21701
Accounting period End 12
Primary contact name CHANTALE TETA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTALE TETA
PRESIDENT
253 WYNGATE DR
FREDERICK MD 21701

Officer/Director/Trustee Two

CLARISSE SIMO
VICE PRESIDENT
17620 SEQUOIA DR APT 201
GAITHERSBURG MD 20877

Officer/Director/Trustee Three

TRESOR TOUANI
SECRETARY
6112 CORDILLERA DR
KILLEEN TX 76549

Officer/Director/Trustee Four

ARTHUR KENGNE
CFO
6112 CORDILLERA DR
KILLEEN TX 76549

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
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 CHANTALE TETA
Signature Title PRESIDENT
Signature Date 10/22/2020

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