FORM 1023-EZ for GRACE HOMESCHOOL COOPERATIVE

Field Data
EIN 81-5369044
Case Number EO-2017118-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE HOMESCHOOL COOPERATIVE
Organization’s Mailing Address 13537 67TH ST NE
City SPICER
State MN
ZIP 56288
Accounting period End 6
Primary contact name NICHOLAS REKIETA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA HOLMEN
CHAIRPERSON/TREASURER
13537 67TH ST NE
SPICER MN 56288

Officer/Director/Trustee Two

ANNA WELLNITZ
VICE CHAIRPERSON
18211 NORWAY WOODS CIRCLE
NEW LONDON MN 56273

Officer/Director/Trustee Three

HEATHER BULTHUIS
SECRETARY
605 KANDIYOHI AVE
PRINSBURG MN 56281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2017
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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