FORM 1023-EZ for PURE GRACE FOUNDATION

Field Data
EIN 83-1458108
Case Number EO-2018232-000546
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURE GRACE FOUNDATION
Organization’s Mailing Address 3 NORTHVIEW TERRACE
City HOLMDEL
State NJ
ZIP 7733
Accounting period End 12
Primary contact name GINA STAMATIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA STAMATIS
CHAIRPERSON
3 NORTHVIEW TERRACE
HOLMDEL NJ 7733-1247

Officer/Director/Trustee Two

JAMES STAMATIS
VICE CHAIRPERSON
3 NORTHVIEW TERRACE
HOLMDEL NJ 7733-1247

Officer/Director/Trustee Three

CHRISTINE BAVARO
VICE CHAIRPERSON
15 BARBERA DR
HOLMDEL NJ 7733-2802

Officer/Director/Trustee Four

SHERIDAN BURRAGE
CONSULTANT
11 RAINTREE CT
HOLMDEL NJ 7733-2802

Officer/Director/Trustee Five

MARYELLEN CONNELLY
CONSULTANT
23 LEDNARDO
LEONARDO NJ 7737-1537

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/18
Organization Incorporation State NJ
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: 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 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 GINA STAMATIS
Signature Title CHAIRPERSON
Signature Date 8/17/18

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