FORM 1023-EZ for LIVING WATER FELLOWSHIP

Field Data
EIN 21-5731252
Case Number EO-2016232-000409
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING WATER FELLOWSHIP
Organization’s Mailing Address 578 E MAIN ST SUITE
City ROCHESTER
State NY
ZIP 14612
Accounting period End 8
Primary contact name MICHAEL E MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MILLER
PASTOR
95 SNOWY OWL RIDGE
ROCHESTER NY 14612

Officer/Director/Trustee Two

CHRISTINE MILLER
SECRETARY
95 SNOWY OWL RIDGE
ROCHESTER NY 14612

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2010
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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
Signature Title
Signature Date

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