FORM 1023-EZ for FOUNTAIN OF MERCY INC

Field Data
EIN 90-0663072
Case Number EO-2014276-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNTAIN OF MERCY INC
Organization’s Mailing Address 8121 BIRCHFIELD DRIVE
City INDIANAPOLIS
State IN
ZIP 46268
Accounting period End 12
Primary contact name MARILYN ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILYN ANDERSON
EXECUTIVE DIRECTOR
8121 BIRCHFIELD DRIVE
INDIANAPOLIS IN 46268

Officer/Director/Trustee Two

LINDA VINES BRIGHT
VICE CHAIRPERSON
4530 DICKSON ROAD
INDIANAPOLIS IN 46226

Officer/Director/Trustee Three

SONJA BURDIX
CHAIRPERSON
7401 HOLLIDAY DRIVE WEST
INDIANAPOLIS IN 46260

Officer/Director/Trustee Four

RITA RIVERS
FINANCIAL SECRETARY
2242 ROME DRIVE
INDIANAPOLIS IN 46228

Officer/Director/Trustee Five

BEVERLY SMITH
TREASURER
4902 NORWALDO
INDIANAPOLIS IN 46205

Organization’s website FOUNTAINOFMERCYINC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2011
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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