FORM 1023-EZ for MERCY CONNECTIONS

Field Data
EIN 83-4464788
Case Number EO-2019310-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY CONNECTIONS
Organization’s Mailing Address 8165 SW CONNEMARA TERRACE
City BEAVERTON
State OR
ZIP 97008
Accounting period End 12
Primary contact name MERCY HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERCY HENDERSON
EXECUTIVE DIRECTOR
8165 SW CONNEMARA TERRACE
BEAVERTON OR 97008-6940

Officer/Director/Trustee Two

MAYME CAWVEY
BOARD MEMBER
8165 SW CONNEMARA TERRACE
BEAVERTON OR 97008-6940

Officer/Director/Trustee Three

KWABENA SIAKA
BOARD MEMBER
8165 SW CONNEMARA TERRACE
BEAVERTON OR 97008-6940

Officer/Director/Trustee Four

KATHY KNIEP
BOARD MEMBER
408 NW 12TH AVENUE - NUMBER 608
PORTLAND OR 97209-2948

Organization’s website HTTPS://MERCYCONNECTIONS.NET/HOME/
Organization’s email INFO@MERCYCONNECTIONS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P84 - Ethnic, Immigrant Centers, Services
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 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 KATHY KNIEP
Signature Title BOARD MEMBER
Signature Date 11/4/19

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