FORM 1023-EZ for GRACE HOMESCHOOL ASSOCIATION OF SALLISAW

Field Data
EIN 47-1152615
Case Number EO-2015016-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE HOMESCHOOL ASSOCIATION OF SALLISAW
Organization’s Mailing Address PO BOX 1632
City SALLISAW
State OK
ZIP 74955
Accounting period End 6
Primary contact name JACQUE CIALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUE CIALONE
PRESIDENT
36362 S 552 RD
VIAN OK 74962

Officer/Director/Trustee Two

STEPHANIE QUALLS
VICE PRESIDENT
1700 S SHILOH RD
SALLISAW OK 74955

Officer/Director/Trustee Three

KATIE OSBURN
TREASURER
19501 S 120TH ST E
WEBBERS FALLS OK 74470-6523

Officer/Director/Trustee Four

SARAH HARRIS
SECRETARY
20216 N STAR RD
KEOTA OK 74941

Officer/Director/Trustee Five

MISTY BAILEY
DIRECTOR
404 MONARCH PASS
SALLISAW OK 74955

Organization’s website
Organization’s email GRACESALLISAW@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 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 Yes
One Third Support Gifts No
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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