FORM 1023-EZ for THE MERCY NETWORK

Field Data
EIN 47-2926064
Case Number EO-2015272-000052
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MERCY NETWORK
Organization’s Mailing Address 3000 S 31ST S STE 213
City TEMPLE
State TX
ZIP 76502
Accounting period End 12
Primary contact name ANTHONY JETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTHONY JETER
DIRECTOR
2312 SORENTO
TEMPLE TX 76502

Officer/Director/Trustee Two

DAVE MCMURRY
DIRECTOR
1203 WINKLER AVE
KILLEEN TX 76542

Officer/Director/Trustee Three

BOBBY ARNOLD
DIRECTOR
5297 S 31ST ST
TEMPLE TX 76502

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 No
One Third Support Gifts Yes
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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