FORM 1023-EZ for MERCER TRANSFORMATION INC

Field Data
EIN 61-1371167
Case Number EO-2018078-000596
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCER TRANSFORMATION INC
Organization’s Mailing Address P O BOX 232
City HARRODSBURG
State KY
ZIP 40330
Accounting period End 6
Primary contact name PAMELA SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA SIMS
PRESIDENT
327 S MAIN STREET
HARRODSBURG KY 40330

Officer/Director/Trustee Two

DONALD SMITH
VICE PRESIDENT
906 MEADOW LANE
HARRODSBURG KY 40330

Officer/Director/Trustee Three

DAVID ROBERTSON
SECRETARY
490 KEMPER LANE
DANVILLE KY 40422

Officer/Director/Trustee Four

DARYL CATLETT
TREASURER
P O BOX 295
HARRODSBURG KY 40330

Officer/Director/Trustee Five

TONI PRESTON
DIRECTOR
350 N COLLEGE STREET
HARRODSBURG KY 40330

Organization’s website WWW.MERCERTRANSFORMATION.COM
Organization’s email PAMSIMS@MERCERTRANSFORMATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/99
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA SIMS
Signature Title PRESIDENT
Signature Date 3/17/18

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