FORM 1023-EZ for FAMILY DIVINE MERCY INC

Field Data
EIN 47-1533846
Case Number EO-2016321-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY DIVINE MERCY INC
Organization’s Mailing Address 27 HARTSHORN PLACE
City WALPOLE
State MA
ZIP 02081
Accounting period End 12
Primary contact name KATHLEEN TIERNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN TIERNEY
PRESIDENT/DIRECTOR
27 HARTSHORN PLACE
WALPOLE MA 02081

Officer/Director/Trustee Two

CLAIRE SMITH
TREASURER/DIRECTOR
25 BATEMEN STREET
ROSLINDALE MA 02132

Officer/Director/Trustee Three

MARIA CAUFIELD
CLERK/DIRECTOR
1 ADRIENNE PLACE
CANTON MA 02021

Organization’s website FAMILYDIVINEMERCY.ORG
Organization’s email FAMILYDIVINEMERCY@VERIZON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
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 Yes
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 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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