FORM 1023-EZ for MERCY TABLE INC

Field Data
EIN 87-1076301
Case Number EO-2021210-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY TABLE INC
Organization’s Mailing Address PO BOX 252
City FORTVILLE
State IN
ZIP 46040
Accounting period End 12
Primary contact name JENNIFER BEAUMONT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BEAUMONT
PRESIDENT
3323 E 6TH STREET
ANDERSON IN 46012

Officer/Director/Trustee Two

MICHAEL BEAUMONT
TREASURER
3323 E 6TH STREET
ANDERSON IN 46012

Officer/Director/Trustee Three

BRIAN FETTER
VICE PRESIDENT
1820 MARIAN DRIVE
INDIANAPOLIS IN 46240

Officer/Director/Trustee Four

KATIE WEAVER
VICE PRESIDENT
6445 W CLEARVIEW DRIVE
MCCORDSVILLE IN 46055

Officer/Director/Trustee Five

APRIL PARMER
SECRETARY
51 INMAN DRIVE
INGALLS IN 46048

Organization’s website WWW.THEMERCYTABLE.NET
Organization’s email THEMERCYTABLE.IN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 JENNIFER BEAUMONT
Signature Title PRESIDENT
Signature Date 7/27/2021

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