FORM 1023-EZ for MERCY FOR LIFE CORP

Field Data
EIN 81-2816150
Case Number EO-2016263-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCY FOR LIFE CORP
Organization’s Mailing Address PO BOX 3866
City NAMPA
State ID
ZIP 83653
Accounting period End 12
Primary contact name DEB SANDBORGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSS HOFFMAN
PRESIDENT
1100 BURNETT DR 354
NAMPA ID 83651

Officer/Director/Trustee Two

ROY MILLER
VICE PRESIDENT
510 LOST BASIN CT
NAMPA ID 83685

Officer/Director/Trustee Three

ILIANA YADO-GONSALEZ
SECRETARY
2619 POWDERHORN DR
CALDWELL ID 83605

Officer/Director/Trustee Four

GENEVA MILLER
TREASURER
510 LOST BASIN CT
NAMPA ID 83685

Organization’s website
Organization’s email MERCY.FORLIFE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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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