FORM 1023-EZ for THE HOUSE OF GRACE-GA

Field Data
EIN 85-4220875
Case Number EO-2021148-000660
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HOUSE OF GRACE-GA
Organization’s Mailing Address 725 TREES OF KENNESAW PKWY NW
City KENNESAW
State GA
ZIP 30152
Accounting period End 12
Primary contact name JAMIKA RENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIKA RENDER
PRESIDENT
725 TREES OF KENNESAW PKWY
KENNESAW GA 30152

Officer/Director/Trustee Two

MANDISA STYLES
VICE PRESIDENT
919 GEORGIAN POINT DRIVE
LAWRENCEVILLE GA 30045

Officer/Director/Trustee Three

NAESHIA MCDOWELL
SECRETARY
1575 RIDENOUR PKWY
KENNESAW GA 30152

Officer/Director/Trustee Four

MELINDA MACK
COMMUNITY PARTNER
100 BLACKJACK COURT
FAYETTEVILLE GA 30125

Organization’s website WWW.HOUSEOFGRACE-GA.ORG
Organization’s email ASKHOUSEOFGRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State GA
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: No
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 Yes
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 JAMIKA RENDER
Signature Title PRESIDENT
Signature Date 5/27/2021

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