FORM 1023-EZ for GRACE MINISTRY

Field Data
EIN 66-0864959
Case Number EO-2016251-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE MINISTRY
Organization’s Mailing Address PO BOX 9061
City PAGO PAGO
State AS
ZIP 96799
Accounting period End 12
Primary contact name SYLVIA FILIKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA TAANI
PRESIDENT
PO BOX 9119
PAGO PAGO AS 96799

Officer/Director/Trustee Two

FAAGASE VAA
VICE PRESIDENT
PO BOX 982655
PAGO PAGO AS 96799

Officer/Director/Trustee Three

AVALISA FEAVAAI
TREASURER
PO BOX 9061
PAGO PAGO AS 96799

Officer/Director/Trustee Four

TELOSENE TAANI
CHAIRPERSON
PO BOX 9119
PAGO PAGO AS 96799

Officer/Director/Trustee Five

KOME FILIKI
BOARD OF DIRECTOR
PO BOX 9061
PAGO PAGO AS 96799

Organization’s website WWW.GRACESAMOAMINISTRY.WEBS.COM
Organization’s email ASKFILIKI@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State AS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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
Signature Title
Signature Date

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