FORM 1023-EZ for BABY GRACE FOUNDATION

Field Data
EIN 84-3310674
Case Number EO-2019296-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BABY GRACE FOUNDATION
Organization’s Mailing Address 405 SOUTHBROOK PARKWAY
City KEARNEY
State MO
ZIP 64060-8435
Accounting period End 12
Primary contact name KYLE H HERTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH STOKE
PRESIDENT & DIRECTOR
405 SOUTHBROOK PARKWAY
KEARNEY MO 64060-8435

Officer/Director/Trustee Two

JERRI CARVER
TREASURER & DIRECTOR
405 SOUTHBROOK PARKWAY
KEARNEY MO 64060-8435

Officer/Director/Trustee Three

ROSANNE FARMER
SECRETARY & DIRECTOR
405 SOUTHBROOK PARKWAY
KEARNEY MO 64060-8435

Officer/Director/Trustee Four

SHAWN BLACK
DIRECTOR
405 SOUTHBROOK PARKWAY
KEARNEY MO 64060-8435

Officer/Director/Trustee Five

JULI YOCUM
DIRECTOR
405 SOUTHBROOK PARKWAY
KEARNEY MO 64060-8435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 DEBORAH STOKE
Signature Title PRESIDENT & DIRECTOR
Signature Date 10/21/19

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