FORM 1023-EZ for MACIE GRACE FOUNDATION

Field Data
EIN 84-1797817
Case Number EO-2019206-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MACIE GRACE FOUNDATION
Organization’s Mailing Address 37541 CHAUNTRY COMMON
City NEWARK
State CA
ZIP 94536-3788
Accounting period End 12
Primary contact name PAMELA BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHANNA HOLTE
PRESIDENT
6964 JARVIS AVENUE
NEWARK CA 94560-1060

Officer/Director/Trustee Two

BRIDGET SEITZINGER
VICE PRESIDENT
5702 EAST SKYLINE AVENUE
TUCSON AZ 85708-1202

Officer/Director/Trustee Three

ERIN HARMON
TREASURER
7933 MAYHEWS LANDING ROAD
NEWARK CA 94560-2253

Officer/Director/Trustee Four

MELISSA WILSON
SECRETARY
5546 LAFAYETTE AVENUE
NEWARK CA 94560-1926

Officer/Director/Trustee Five

PAMELA BUTLER
INCORPORATOR - DIRECTOR
6308 TERRACE DRIVE
POLLOCK PINES CA 95726-9254

Organization’s website
Organization’s email MAKE EVERYDAYASAFEDAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
Religious: No
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 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 PAMELA BUTLER
Signature Title INCORPORATOR - DIRECTOR
Signature Date 7/23/19

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