FORM 1023-EZ for GRACE MINISTRIES INTERNATIONAL OF JACKSONVILLE

Field Data
EIN 59-3599469
Case Number EO-2017166-000131
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACE MINISTRIES INTERNATIONAL OF JACKSONVILLE
Organization’s Mailing Address 4232 GARIBALDI AVENUE
City JACKSONVILLE
State FL
ZIP 32210
Accounting period End 10
Primary contact name ROGER B STARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER STARK
PRESIDENT
4232 GARIBALDI AVENUE
JACKSONVILLE FL 32210

Officer/Director/Trustee Two

LEEANN RUMMELL
DIRECTOR
2538 RIVER ROAD
JACKSONVILLE FL 32207

Officer/Director/Trustee Three

BLAIR ELIZABETH STARK
DIRECTOR
4232 GARIBALDI AVENUE
JACKSONVILLE FL 32210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/1999
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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