FORM 1023-EZ for THE GRACED TABLE INC

Field Data
EIN 84-5171780
Case Number EO-2020086-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GRACED TABLE INC
Organization’s Mailing Address 2475 DUNN ROAD
City EASTOVER
State NC
ZIP 28312
Accounting period End 12
Primary contact name CHARLOTTE RIGGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMERON JORGENSON
PRESIDENT
1990 PENROSE DRIVE
FAYETTEVILLE NC 28304

Officer/Director/Trustee Two

FRAN BRANCH
TREASURER
310 WHITNEY DRIVE
FAYETTEVILLE NC 28314

Officer/Director/Trustee Three

CHARLOTTE RIGGLE
TREASURER/DIRECTOR
2475 DUNN ROAD
EASTOVER NC 28312

Officer/Director/Trustee Four

KELLY JORGENSON
DIRECTOR
1990 PENROSE DRIVE
FAYETTEVILLE NC 28304

Officer/Director/Trustee Five

DANIEL TIPPETT
VICE PRESIDENT, DIRECTOR
6304 CLEM ROSE LANE
HOPE MILLS NC 28348

Organization’s website
Organization’s email THEGRACEDTABLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition 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 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 CAMERON JORGENSON
Signature Title PRESIDENT
Signature Date 3/24/2020

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