FORM 1023-EZ for ABUNDANT GRACE OUTREACH

Field Data
EIN 84-1970276
Case Number EO-2019157-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ABUNDANT GRACE OUTREACH
Organization’s Mailing Address 177 PATTON ROAD
City JASPER
State AL
ZIP 35503
Accounting period End 12
Primary contact name CYNTHIA PATTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA PATTON
EXECUTIVE DIRECTOR
177 PATTON ROAD
JASPER AL 35503

Officer/Director/Trustee Two

DEBBIE HENDRIX
VICE PRESIDENT
132 HARBOR LOOP
JASPER AL 35504

Officer/Director/Trustee Three

TARA TWILLEY
SECRETARY
2755 CO RD 54
BREMEN AL 35033

Officer/Director/Trustee Four

MATT PATTON
BOARD MEMBER
304 PANOLA STREET
WATER VALLEY MS 38965

Officer/Director/Trustee Five

CANDACE UBANKS-GUTHRIE
BOARD MEMBER
320 3RD AVE SE
CULLMAN AL 35055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
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 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 CYNTHIA PATTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/4/19

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