FORM 1023-EZ for HIS MERCY RADIO INC

Field Data
EIN 83-1377843
Case Number EO-2019182-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS MERCY RADIO INC
Organization’s Mailing Address 7020 NEW HOPE ROAD
City GRANTS PASS
State OR
ZIP 97527
Accounting period End 12
Primary contact name JAMES M HOSTETLER JD OFS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE MURPHY
PRESIDENT AND TREASURER
7020 NEW HOPE ROAD
GRANTS PASS OR 97527

Officer/Director/Trustee Two

MICHAEL MURPHY
SECRETARY
7020 NEW HOPE ROAD
GRANTS PASS OR 97527

Officer/Director/Trustee Three

RICK NELSON
VICE PRESIDENT
7020 NEW HOPE ROAD
GRANTS PASS OR 97527

Organization’s website NONE
Organization’s email MERCY@ROGUELINK.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
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 No
Correctness Declaration Yes
Signature Name CONNIE MURPHY
Signature Title PRESIDENT AND TREASURER
Signature Date 6/27/19

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