FORM 1023-EZ for MERCY MISSION INTERNATIONAL INC

Field Data
EIN 90-0721412
Case Number EO-2015216-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCY MISSION INTERNATIONAL INC
Organization’s Mailing Address 694 STERLING PLACE
City BROOKLYN
State NY
ZIP 11213
Accounting period End 9
Primary contact name ORLEY CAMERON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL KOLLIE
PRESIDENT
694 STERLING PLACE 1F
BROOKLYN NY 11216

Officer/Director/Trustee Two

IDA TENERIO
VICE PRESIDENT
135-26 244TH STREET
ROSEDALE NY 11422

Officer/Director/Trustee Three

GLORINE JEREMIAH
SECRETARY
694 STERLING PLACE 2F
BROOKLYN NY 11216

Officer/Director/Trustee Four

GERALD HARRIS
TREASURER
659 REMSEN AVE
BROOKLYN NY 11236

Officer/Director/Trustee Five

IVY BARNES-WALKER
BOARD MEMBER
2104 STRUSS STREET 3B7
BROOKLYN NY 11212

Organization’s website
Organization’s email MERCYMISSION@OPTONLINE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2009
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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