FORM 1023-EZ for SAVINGS GRACE HOMELESS SHELTER INC

Field Data
EIN 47-0963955
Case Number EO-2014241-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVINGS GRACE HOMELESS SHELTER INC
Organization’s Mailing Address 235 TOMS HOLLOW
City PARTRIDGE
State KY
ZIP 40862
Accounting period End 12
Primary contact name DIANE WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE WATTS
DIRECTOR
235 TOMS HOLLOW
PARTRIDGE KY 40862

Officer/Director/Trustee Two

JANICE GALLOWAY
SEC/TREAS
P O BOX 30
PARTRIDGE KY 40862

Officer/Director/Trustee Three

DANNY WEBB
DIRECTOR
74 FIELDS CLIFF
WHITESBURG KY 41858

Officer/Director/Trustee Four

AMY GROSS
DIRECTOR
584 HWY 806
EOLIA KY 40826

Officer/Director/Trustee Five

EUGENE SLONE
DIRECTOR
122 COMPANY BR
WHITESBURG KY 41858

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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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