FORM 1023-EZ for MERCY S LIGHT MINISTRY INC

Field Data
EIN 85-3922263
Case Number EO-2021084-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY S LIGHT MINISTRY INC
Organization’s Mailing Address 6 DEER RUN TRAIL NW
City ROME
State GA
ZIP 30165
Accounting period End 12
Primary contact name CHARLES STEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES STEIN
CHAIRMAN
3111 GARDEN LAKES BLVD
ROME GA 30165

Officer/Director/Trustee Two

PATRICAI STEIN
CEO
3111 GARDEN LAKES BLVD
ROME GA 30165

Officer/Director/Trustee Three

SAMUAL HUGHES
PRESIDENT
102 COOSAWATTEE AVE
ROME GA 30165

Officer/Director/Trustee Four

BRITTNAY MAUSER
TREASURER
240 COUNTY ROAD 642
CEDAR BLUFF AL 35959

Officer/Director/Trustee Five

VICKI CLEVELAND
SECRETARY
87 GORE DRIVE NE
ROME GA 30161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 CHARLES STEIN
Signature Title CHAIRMAN
Signature Date 11/17/2020

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