FORM 1023-EZ for HELEN MERCER TESTAMENTARY TRUST

Field Data
EIN 35-6743923
Case Number EO-2018344-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HELEN MERCER TESTAMENTARY TRUST
Organization’s Mailing Address 4100 EDISON LAKES PKWY STE 300
City MISHAWAKA
State IN
ZIP 46545-528
Accounting period End 12
Primary contact name MICHELLE MARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUTUALWEALTH MANAGEMENT GROUP
TRUSTEE
4100 EDISON LAKES PKWY STE 300
MISHAWAKA IN 46545-528

Officer/Director/Trustee Two

JAMES CHAMPER
PAID PREPARER
210 S MICHIGAN STE 200
SOUTH BEND IN 46601

Organization’s website N/A
Organization’s email MICHELLE.MARNER@BANKWITHMUTUAL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/03
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES CHAMPER
Signature Title PAID PREPARER
Signature Date 12/6/18

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