FORM 1023-EZ for GRACE OF MERCY OUTREACH MINISTRY AND DEVELOPMENT INC

Field Data
EIN 46-1366812
Case Number EO-2016034-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE OF MERCY OUTREACH MINISTRY AND DEVELOPMENT INC
Organization’s Mailing Address P O BOX 11153
City JACKSONVILLE
State FL
ZIP 32239
Accounting period End 12
Primary contact name JAMES STACKHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELLIOT PLATEL
PRESIDENT
3501 TOWNSEND BLVD 244
JACKSONVILLE FL 32277

Officer/Director/Trustee Two

YVETTE DUBOIS
VICE PRESIDENT
3501 TOWNSEND BLVD
JACKSONVILLE LA 32277

Officer/Director/Trustee Three

MAGALIE BENJAMIN-JACQUE
SECRETARY
P O BOX 6856
HOLLISTON ME 01746

Officer/Director/Trustee Four

JAMES STACKHOUSE
MEMBER
9716 ORR CT S
JACKSONVILLE FL 32246

Organization’s website WWW.GOMOMINC.ORG
Organization’s email GRACEOFMERCYMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2012
Organization Incorporation State FL
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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