FORM 1023-EZ for GRACE YOUTH MENTORING AND COMMUNITYOUTREACH

Field Data
EIN 84-2427805
Case Number EO-2020055-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE YOUTH MENTORING AND COMMUNITYOUTREACH
Organization’s Mailing Address 3405-WOODBRIDGE DRIVE
City NEWPORT NEWS
State VA
ZIP 23608-8282
Accounting period End 12
Primary contact name CHARLENE NEWSOME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLENE NEWSOME
DIRECTOR
3405 WOODBRIDGE DRIVE
NEWPORT NEWS VA 23608-8282

Officer/Director/Trustee Two

SARAH KOURTICHE
VICE PRESIDENT
270 LEE STREET
HAMPTON VA 23669-4124

Officer/Director/Trustee Three

SHANIKA WHITLEY
SECRETARY
307 CHARLES STREET
NEWPORT NEWS VA 23608-1038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 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 CHARLENE NEWSOME
Signature Title DIRECTOR
Signature Date 2/21/2020

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