FORM 1023-EZ for LIVING BY GRACE MINISTRIES

Field Data
EIN 35-2463639
Case Number EO-2016172-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING BY GRACE MINISTRIES
Organization’s Mailing Address 428 STANFORD ST
City BRUSH
State CO
ZIP 80723
Accounting period End 12
Primary contact name TARA SAMPLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAQUEL ORONA
PRESIDENT
428 STANFORD ST
BRUSH CO 80723

Officer/Director/Trustee Two

STELLA PAYTON
VICE PRESIDENT
128 PINEHILLS DR
HATTIESBURG MS 39402

Officer/Director/Trustee Three

CANDICE SCHILKE
SECRETARY
33385 740 RD
IMPERIAL NE 69033

Officer/Director/Trustee Four

TARA SAMPLES
TREASURER
18071 COUNTY RD 26 2/10
BRUSH CO 80723

Organization’s website WWW.LIVINGBYGRACEMINISTRIES.COM
Organization’s email LIVINGBYGRACEM@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State CO
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: 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 No
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 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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