FORM 1023-EZ for THE HOUSE THAT MERCY BUILT

Field Data
EIN 35-2402636
Case Number EO-2015002-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HOUSE THAT MERCY BUILT
Organization’s Mailing Address PO BOX 867
City TELLICO PLAINS
State TN
ZIP 37385-0867
Accounting period End 12
Primary contact name ROMA PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MITCHELL PAYNE
CO-DIRECTOR
PO BOX 867
TELLICO PLAINS TN 37385-0867

Officer/Director/Trustee Two

ROMA PAYNE
CO-DIRECTOR
PO BOX 867
TELLICO PLAINS TN 37385-0867

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2011
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 Yes
One Third Support Gifts No
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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