FORM 1023-EZ for MERCY LAND ORPHANAGE INC

Field Data
EIN 98-1113543
Case Number EO-2017003-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCY LAND ORPHANAGE INC
Organization’s Mailing Address PO BOX 2124
City JACKSONVILLE
State FL
ZIP 32203
Accounting period End 12
Primary contact name EBENSON VERDULE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EBENSON VERDULE
PRESIDENT/DIRECTOR
8006 PEPPERMINT LANE
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

BARRETT GATES
TREASURER/DIRECTOR
1519 MALLARD LANDING BOULEVARD
ST JOHNS FL 32259

Officer/Director/Trustee Three

KAYLA NEWLING
SECRETARY/DIRECTOR
PO BOX 2124
JACKSONVILLE FL 32203

Organization’s website WWW.MERCYLANDORPHANAGE.ORG
Organization’s email INFO@MERCYLANDORPHANAGE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
Organization’s purpose Charitable: Yes
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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