FORM 1023-EZ for GRACE WAY CHURCH OF CHRIST

Field Data
EIN 47-5529484
Case Number EO-2016208-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE WAY CHURCH OF CHRIST
Organization’s Mailing Address 561 OLD NASHVILLE HWY
City LAVERGNE
State TN
ZIP 37086
Accounting period End 12
Primary contact name TIMOTHY OTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY OTIS
PRESIDENT/CEO
4264 SANDSTONE DR
ANTIOCH TN 37013

Officer/Director/Trustee Two

JEANNETTE GIBBS
SECRETARY
106 BLOSSOMS CT
MURFRESSBORO TN 37129

Officer/Director/Trustee Three

ANNETTE MCKELVEY
DIRECTOR
9205 LAZY HOLLOW
SMYRNA TN 37167

Officer/Director/Trustee Four

KATHLEEN TURNER
DIRECTOR
6337 SOUTHERN PLACE
SMYRNA TN 37129

Officer/Director/Trustee Five

KAWANNA OTIS
DIRECTOR
4264 SANDSTONE
ANTIOCH TN 37216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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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