FORM 1023-EZ for TRAVELING MERCIES RV MINISTRY INC

Field Data
EIN 83-3405143
Case Number EO-2019056-000580
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRAVELING MERCIES RV MINISTRY INC
Organization’s Mailing Address 5415 PALM SPRINGS LN - APT B
City BOYNTON BEACH
State FM
ZIP 33437
Accounting period End 12
Primary contact name JAMES HOUCHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES H HOUCHENS
PRESIDENT
5415 PALM SPRINGS LN - APT B
BOYNTON BEACH FL 33437

Officer/Director/Trustee Two

VERLENE PISCATELLI
DIRECTOR
1720 ABLES ROAD
SIKESTON MO 63801

Officer/Director/Trustee Three

ELIZABETH SMITH
DIRECTOR
575 MORGAN SPRINGS CT
CANTON GA 30115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 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 JAMES H HOUCHENS
Signature Title PRESIDENT
Signature Date 2/22/19

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