FORM 1023-EZ for THE MERCY-SOLOMON FOUNDATION

Field Data
EIN 81-0700807
Case Number EO-2020247-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MERCY-SOLOMON FOUNDATION
Organization’s Mailing Address 1817 N HARRISON ST
City ARLINGTON
State VA
ZIP 22205
Accounting period End 12
Primary contact name ERIC SAMUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC SAMUEL
PRESIDENT
1817 N HARRISON ST
ARLINGTON VA 22205

Officer/Director/Trustee Two

LALITHA SAMUEL
SECRETARY
1817 N HARRISON ST
ARLINGTON VA 22205

Officer/Director/Trustee Three

NATASHA SAMUEL
TREASURER
6 W HILL ST
BALTIMORE MD 21230

Officer/Director/Trustee Four

MARINA DOROTHEO
DIRECTOR
6017 2OTH ST N
ARLINGTON VA 22207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ERIC SAMUEL
Signature Title PRESIDENT
Signature Date 8/31/2020
EIN 81-0700807
Case Number EO-2016004-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MERCY-SOLOMON FOUNDATION
Organization’s Mailing Address 1817 NORTH HARRISON STREET
City ARLINGTON
State VA
ZIP 22205
Accounting period End 12
Primary contact name ERIC SAMUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC SAMUEL
PRESIDENT
1817 NORTH HARRISON STREET
ARLINGTON VA 22205

Officer/Director/Trustee Two

LALITHA SAMUEL
TREASURER
1817 NORTH HARRISON STREET
ARLINGTON VA 22205

Officer/Director/Trustee Three

NATASHA SAMUEL
SECRETARY
6 W HILL STREET
BALTIMORE MD 21230

Officer/Director/Trustee Four

MARINA DOROTHEO
DIRECTOR
6017 20TH ST N
ARLINGTON VA 22205

Organization’s website
Organization’s email ERIC.SAMUEL@VERIZON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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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