FORM 1023-EZ for I HAVE BEEN RESTORED BY GRACE INC

Field Data
EIN 85-0491893
Case Number EO-2020106-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I HAVE BEEN RESTORED BY GRACE INC
Organization’s Mailing Address 6944 BURCHELL AVENUE
City FAR ROCKAWAY
State NY
ZIP 11692
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA BOSTICK
DIRECTOR
6944 BURCHELL AVENUE
FAR ROCKAWAY NY 11692

Officer/Director/Trustee Two

CHIFFON BLACK
DIRECTOR
2016 PLAINVIEW AVENUE
FAR ROCKAWAY NY 11692

Officer/Director/Trustee Three

JACQUELINE PRIMUS
DIRECTOR
516 BEACH 64TH STREET
FAR ROCKAWAY NY 11692

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
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 TANYA BOSTICK
Signature Title DIRECTOR
Signature Date 4/13/2020

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