FORM 1023-EZ for THE CM MERRITT FOUNDATION

Field Data
EIN 82-1110591
Case Number EO-2017107-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CM MERRITT FOUNDATION
Organization’s Mailing Address 13651 HASTENBECK DR
City GAINESVILLE
State VA
ZIP 20155
Accounting period End 12
Primary contact name MARCIA MERRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA MERRITT
PRESIDENT, DIRECTOR
13651 HASTENBECK DR
GAINESVILLE VA 20155

Officer/Director/Trustee Two

JANICE FILER
VICE PRESIDENT, DIRECTOR
6342 WOODLAND FOREST DR
TUSCALOOSA AL 35405

Officer/Director/Trustee Three

BEVERLY KENNEDY
SECRETARY, DIRECTOR
8325 CRIMSON CROSSING WAY
GAINESVILLE VA 20155

Officer/Director/Trustee Four

KONAH TERRY
TREASURER, DIRECTOR
1228 TENNESSEE DR NE
LEESBURG VA 20176

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2017
Organization Incorporation State VA
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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