FORM 1023-EZ for GRACE OUTREACH INC

Field Data
EIN 83-1786524
Case Number EO-2019318-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRACE OUTREACH INC
Organization’s Mailing Address P O BOX 1092
City ROANOKE
State AL
ZIP 36274
Accounting period End 12
Primary contact name TOBY STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOBY STEPHENS
OFFICER
1704 CO RD 268
ROANOKE AL 36274

Officer/Director/Trustee Two

LINDA STEPHENS
OFFICER
1704 CO RD 268
ROANOKE AL 36274

Officer/Director/Trustee Three

BILL HENDERSON
DIRECTOR
329 TWIN OAKS DR
WEDOWEE AL 36278

Officer/Director/Trustee Four

EDWARD CAMPBELL
DIRECTOR
609 FRANKLIN ST
ROANOKE AL 36274

Officer/Director/Trustee Five

DENNIS M
DIRECTOR
1030 CO RD 649
ROANOKE AL 36274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOBY STEPHENS
Signature Title OFFICER
Signature Date 11/9/19

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