FORM 1023-EZ for HOUSE OF MERCY INC

Field Data
EIN 82-4245804
Case Number EO-2018193-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF MERCY INC
Organization’s Mailing Address 29 SOUTH CANAL STREET
City LAWRENCE
State MA
ZIP 1843
Accounting period End 12
Primary contact name ROGER A FARAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER FARAH
PRESIDENT/DIRECTOR
8 LONGWOOD RD
SALEM NH 3079

Officer/Director/Trustee Two

MABEL LOPEZ
TREASURER/DIRECTOR
10 ASHTON PLACE
METHUEN MA 1844

Officer/Director/Trustee Three

DIANA SALCEDO
CLERK/DIRECTOR
78 DORCHESTER ST APT 2
LAWRENCE MA 1843

Officer/Director/Trustee Four

IVAN GONALEZ
DIRECTOR
87 SPRINGFIELD ST
LAWRENCE MA 1844

Organization’s website
Organization’s email HOUSEOFMERCY85@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State MA
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 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 ROGER FARAH
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/10/18

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