FORM 1023-EZ for NEW MERCIES COMMUNITY SERVICES INC

Field Data
EIN 83-4242105
Case Number EO-2019116-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW MERCIES COMMUNITY SERVICES INC
Organization’s Mailing Address 517 MAIN ST
City BROOKVILLE
State IN
ZIP 47012
Accounting period End 12
Primary contact name JAN DAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER EDWARDS
VICE PRESIDENT
515 MAIN ST
BROOKVILLE IN 47012

Officer/Director/Trustee Two

ROSEMARY STIRN
DIRECTOR
9112 WHITEWATER DR
BROOKVILLE IN 47012

Officer/Director/Trustee Three

EUGENA MONROE
SECRETARY/TREASURER
8156 PEA RIDGE RD
BROOKVILLE IN 47012

Officer/Director/Trustee Four

JANIS DAY
PRESIDENT
11090 ST PETERS RD
BROOKVILLE IN 47012

Officer/Director/Trustee Five

ROBERT HATFIELD
DIRECTOR
5029 SHADY LANE
BROOKVILLE IN 47012

Organization’s website WWW.NEWMERCIESBROOKVILLE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 JANIS DAY
Signature Title PRESIDENT
Signature Date 4/24/19

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