FORM 1023-EZ for MERCY ASYLUM PRODUCTIONS INC

Field Data
EIN 87-2409072
Case Number EO-2021250-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY ASYLUM PRODUCTIONS INC
Organization’s Mailing Address 1729 NW ST LUCIE W BLVD UNIT 1053
City PORT SAINT LUCIE
State FL
ZIP 34986
Accounting period End 12
Primary contact name LAURI BLAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACOB BLAKE
PRESIDENT
1729 NW ST LUCIE W BLVD UNIT 1053
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Two

RICHARD MITCHELL
VICE PRESIDENT
1729 NW ST LUCIE W BLVD UNIT 1053
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Three

SARAH BLAKE
SECRETARY
1729 NW ST LUCIE W BLVD UNIT 1053
PORT SAINT LUCIE FL 34986

Officer/Director/Trustee Four

LAURI BLAKE
TREASURER
1729 NW ST LUCIE W BLVD UNIT 1053
PORT SAINT LUCIE FL 34986

Organization’s website
Organization’s email MOOGIE1964@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2021
Organization Incorporation State FL
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: 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 Yes
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 JACOB BLAKE
Signature Title PRESIDENT
Signature Date 9/2/2021

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