FORM 1023-EZ for GRACE PREGNANCY OUTREACH

Field Data
EIN 84-2201634
Case Number EO-2019178-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE PREGNANCY OUTREACH
Organization’s Mailing Address 1300 N WASHINGTON AVE
City LIVINGSTON
State TX
ZIP 77351
Accounting period End 12
Primary contact name MISTY NETTLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MAYLAND
PRESIDENT
136 CARDINAL DR
LIVINGSTON TX 77351

Officer/Director/Trustee Two

JARED JERNIGAN
VICE PRESIDENT
413 HUBERT LANE
LIVINGSTON TX 77351

Officer/Director/Trustee Three

DEWAYNE COBURN
TREASURER
807 WEST FAGEN
LIVINGSTON TX 77351

Officer/Director/Trustee Four

MISTY NETTLES
EXECUTIVE DIRECTOR
269 ANNS BLVD
LIVINGSTON TX 77351

Organization’s website WWW.GRACEPO.COM
Organization’s email GRACELIVINGSTONTX@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R62 - Right to Life
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 MISTY NETTLES
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/25/19

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