FORM 1023-EZ for MICHIGAN MERCY HOUSING

Field Data
EIN 83-0862102
Case Number EO-2018177-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIGAN MERCY HOUSING
Organization’s Mailing Address 21850 CONSTITUTION
City SOUTHFIELD
State MI
ZIP 48076
Accounting period End 12
Primary contact name MELISSA SHELBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA SHELBY
PRESIDENT
21850 CONSTITUTION
SOUTHFIELD MI 48076

Officer/Director/Trustee Two

TAYON SHELBY
VP/SECRETARY
21850 CONSTITUTION
SOUTHFIELD MI 48186

Officer/Director/Trustee Three

TOIYA JOHNSON
TREASURER
18217 WESTHAVEN
SOUTHFIELD MI 48075

Officer/Director/Trustee Four

MELANIE PHILLIPS
MEMBER
14353 ARDMORE
DETROIT MI 48227

Officer/Director/Trustee Five

KATHERINE PHILLIPS
MEMBER
12137 WYOMING
DETROIT MI 48204

Organization’s website
Organization’s email MELISSA_SHELBY@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 MELISSA SHELBY
Signature Title PRESIDENT
Signature Date 6/24/18

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