FORM 1023-EZ for LIVING GRACE OKC INCORPORATED

Field Data
EIN 83-4475636
Case Number EO-2019133-000397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING GRACE OKC INCORPORATED
Organization’s Mailing Address PO BOX 721782
City OKLAHOMA CITY
State OK
ZIP 73142
Accounting period End 12
Primary contact name REBECCA ROSES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA ROSES
CO-CHAIR & OUTREACH DIRECTOR
3505 NW 176TH CT
EDMOND OK 73012

Officer/Director/Trustee Two

CRYSTAL VERBRUGGHE
CO-CHAIR & DIRECTOR OF OPERATIONS
8217 NW 147TH TER
OKLAHOMA CITY OK 73142

Officer/Director/Trustee Three

CHELSEA SMITH
CO-CHAIR & VOLUNTEER COORDINATOR
14808 TRUMBALL CIR
OKLAHOMA CITY OK 73142

Organization’s website WWW.LIVINGGRACEOKC.COM
Organization’s email LIVINGGRACEOKC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA ROSES
Signature Title CO-CHAIR & OUTREACH DIRECTOR
Signature Date 5/9/19

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