FORM 1023-EZ for SURE ROCK OF MERCY INC

Field Data
EIN 47-4811562
Case Number EO-2015257-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURE ROCK OF MERCY INC
Organization’s Mailing Address 123 SANDPIPER AVE
City SURFSIDE
State TX
ZIP 77541
Accounting period End 3
Primary contact name ERIC EMBREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC EMBREY
PRESIDENT
123 SANDPIPER AVE
SURFSIDE TX 77541

Officer/Director/Trustee Two

ASHLEY EMBREY
TREASURER
123 SANDPIPER AVE
SURFSIDE TX 77541

Officer/Director/Trustee Three

PATRICIA DEVILLE
SECRETARY
1270 CR 201A
ANGLETON TX 77515

Officer/Director/Trustee Four

RANDALL VERNOR
DIRECTOR
435 COMMERCE
FREEPORT TX 77541

Officer/Director/Trustee Five

KENNETH VERNOR
DIRECTOR
435 COMMERCE
FREEPORT TX 77541

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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