FORM 1023-EZ for MERGE MEMPHIS INC

Field Data
EIN 30-0847720
Case Number EO-2015086-000471
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERGE MEMPHIS INC
Organization’s Mailing Address 5667 HUNTERS CHASE
City SOUTHAVEN
State MS
ZIP 38672
Accounting period End 12
Primary contact name SHERRY MCCLURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRY MCCLURE
EXECUTIVE DIRECTOR
5667 HUNTERS CHASE
SOUTHAVEN MS 38672

Officer/Director/Trustee Two

KEITH MCCLURE
BOARD MEMBER
5667
SOUTHAVEN MS 38672

Officer/Director/Trustee Three

KIM BELKNAP
BOARD MEMBER
3233 AMANDA BELLE
SOUTHAVEN MS 38672

Officer/Director/Trustee Four

CHRISTY BROWN
BOARD MEMBER
7606 FOX HUNT DR
OLIVE BRANCH MS 38653

Officer/Director/Trustee Five

JILL WILLIAMS
BOARD MEMBER
3159 BEDFORD LANE
GERMANTOWN TN 38138

Organization’s website
Organization’s email SHERRYMC63@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons 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 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 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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