FORM 1023-EZ for MERCY WORLDWIDE - TRISTATE

Field Data
EIN 83-4084812
Case Number EO-2019114-000446
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY WORLDWIDE - TRISTATE
Organization’s Mailing Address 68-11 CLYDE STREET
City FLUSHING
State NY
ZIP 11375
Accounting period End 12
Primary contact name MICHAEL ODONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID SWANN
PRESIDENT
71 COLONIAL TERRACE
NUTLEY NJ 7110

Officer/Director/Trustee Two

LUKE SPECKMAN
TRUSTEE
95-06 67TH STREET
REGO PARK NY 11374

Officer/Director/Trustee Three

MICHAEL ODONNELL
SECRETARY
68-11 CLYDE STREET APT 2
FLUSHING NY 11375

Organization’s website WWW.MERCYWORLDWIDE.ORG
Organization’s email NYC.ADMIN@USD21.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 Yes
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 MICHAEL ODONNELL
Signature Title SECRETARY
Signature Date 4/22/19

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