FORM 1023-EZ for WYTHE REFUGE MERCY INC

Field Data
EIN 81-2898993
Case Number EO-2016169-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WYTHE REFUGE MERCY INC
Organization’s Mailing Address 1809 LEAD MINE RD
City AUSTINVILLE
State VA
ZIP 24312
Accounting period End 12
Primary contact name SHARON GALLIMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON GALLIMORE
PRESIDENT
1809 LEAD MINE RD
AUSTINVILLE VA 24312

Officer/Director/Trustee Two

MALINDA EVERSOLE
VICE PRESIDENT
1765 AUSTINVILLE RD
MAX MEADOWS VA 24360

Officer/Director/Trustee Three

GAIL KIRBY
TREASURER
1136 IVANHOE RD
MAX MEADOWS VA 24360

Officer/Director/Trustee Four

MARGIE BRYANT
SECRETARY
5465 COOPER DRIVE
DUBLIN VA 24084

Officer/Director/Trustee Five

TODD PORTER
MEMBER
2473
MAX MEADOWS VA 24360

Organization’s website
Organization’s email WYTHEREFUGEMERCYHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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