| Field | Data |
|---|---|
| EIN | 90-0580196 |
| Case Number | EO-2015028-000399 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MERCY HOSPICE PALLIATIVE CARE INC |
| Organization’s Mailing Address | 901 FORREST STREET |
| City | SHELBY |
| State | MS |
| ZIP | 38774 |
| Accounting period End | 12 |
| Primary contact name | JOHNNIE NOAH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
LILLIE HOUSTIN
PRESIDENT
901 FORREST
SHELBY MS 38774
JOHNNIE NOAH
DIRECTOR
457 BARNES
CLARKSDALE MS 38614
L T CROSS
SECRETARY
901 FORREST
SHELBY MS 38774
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/19/2010 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E92 - Home Health Care |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date | |
| EIN | 90-0580196 |
| Case Number | EO-2014269-000068 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MERCY HOSPICE AND PALLIATIVE CARE |
| Organization’s Mailing Address | 901 FOREST STREET |
| City | SHELBY |
| State | MS |
| ZIP | 38774 |
| Accounting period End | 12 |
| Primary contact name | MINNIE NOAH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
NORCHESTER SHARP
PRESIDENT
4893 HWY 322
CLARKSDALE MS 38614
ALDRICH CONLEY
VICE PRESIDENT
1138 ALEX GATES ROAD
MARKS MS 38646
FRANKLIN GLASPER
TREASURER
843 MAPLE STREET
CLARKSDALE MS 38614
MINNIE NOAH
CEO
1309 MILLER DR
CLARKSDALE MS 38614
LT CROSS
SECRETARY
1149BRIARWOOD COVE
CLARKSDALE MS 38614
| Organization’s website | N/A |
|---|---|
| Organization’s email | MERCYHOSPICE01@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/18/2013 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E92 - Home Health Care |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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