FORM 1023-EZ for SERVING WITH GRACE INC

Field Data
EIN 81-2087310
Case Number EO-2016123-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVING WITH GRACE INC
Organization’s Mailing Address 4460 NW 5TH PLACE
City PLANTATION
State FL
ZIP 33317
Accounting period End 12
Primary contact name EVANGELINE CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EVANGELINE CLARKE
DIRECTOR OF OPERATIONS
4460 NW 5TH PLACE
PLANTATION FL 33317

Officer/Director/Trustee Two

RICARDO JOSEPH
TREASURER
6875 NW 15TH STREET
PLANTATION FL 33313

Officer/Director/Trustee Three

KINO CLARKE
PRESIDENT
4460 NW 5TH PLACE
PLANTATION FL 33317

Officer/Director/Trustee Four

JANICE WILLIAMS
SECRETARY
3848 LYONS ROAD APT 305
COCONUT CREEK FL 33073

Officer/Director/Trustee Five

JONATHAN ROBINSON
BOARD MEMBER
2812 SW 3RD STREET
FORT LAUDERDALE FL 33312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 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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