FORM 1023-EZ for MERCY HOUSING INC

Field Data
EIN 84-2975108
Case Number EO-2019259-000525
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY HOUSING INC
Organization’s Mailing Address 5400 BERNARD DRIVE E308
City ROANOKE
State VA
ZIP 24018
Accounting period End 12
Primary contact name NILES U COMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NILES COMER
DIRECTOR
5400 BERNARD DRIVE E308
ROANOKE VA 24018

Officer/Director/Trustee Two

STEPHANIE HARRIS
TREASURER
201 EAST 5TH STREET
LEXINGTON KY 40508

Officer/Director/Trustee Three

CHRISTINE BALDWIN
CHAIRPERSON
1240 3RD STREET SW
ROANOKE VA 24016

Organization’s website
Organization’s email NILES@MERCYROANOKE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 NILES COMER
Signature Title DIRECTOR
Signature Date 9/11/19

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