FORM 1023-EZ for MERCY HILL AND MARIAN CENTER

Field Data
EIN 81-1583803
Case Number EO-2016063-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MERCY HILL AND MARIAN CENTER
Organization’s Mailing Address 2602 ABEDUL ST
City CARLSBAD
State CA
ZIP 92009
Accounting period End 12
Primary contact name PATRICE BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICE BENNETT
PRESIDENT, DIRECTOR
2602 ABEDUL ST
CARLSBAD CA 92009

Officer/Director/Trustee Two

JENNIFER PETERSON
SECRETARY, DIRECTOR
1986 ELM RIDGE DR
VISTA CA 92081

Officer/Director/Trustee Three

KATHY HOWARD
TREASURER, DIRECTOR
652 SONOMA ST
SAN MARCOS CA 92078

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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