FORM 1023-EZ for GRACES TABLE INC

Field Data
EIN 46-5129857
Case Number EO-2014349-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACES TABLE INC
Organization’s Mailing Address 835 RICHMOND ST NW
City GRAND RAPIDS
State MI
ZIP 49504
Accounting period End 12
Primary contact name LISA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LISA ANDERSON
PRESIDENT AND DIRECTOR
835 RICHMOND ST NW
GRAND RAPIDS MI 49504

Officer/Director/Trustee Two

KRISTINE COLLINS
VICE-PRESIDENT AND DIRECTOR
5108 WEST VILLAGE TRAIL
ADA MI 49301

Officer/Director/Trustee Three

KRISTIN PAUL
SECRETARY AND DIRECTOR
633 COIT AVE NE APT 4
GRAND RAPIDS MI 49503

Officer/Director/Trustee Four

EMILY HALLORAN
TREASURER AND DIRECTOR
1205 DEVONSHIRE DR
NORTON SHORES MI 49441

Officer/Director/Trustee Five

KENDRA MALLOY
DIRECTOR
26381 DARTMOUTH ST
MADISON HEIGHTS MI 48071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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