FORM 1023-EZ for WATER 4 LIFE PROJECT

Field Data
EIN 81-3409562
Case Number EO-2019329-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATER 4 LIFE PROJECT
Organization’s Mailing Address 4621 S LYN CIRCLE
City SOUTH EUCLID
State OH
ZIP 44121
Accounting period End 12
Primary contact name BROOKIE CASTLEBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKIE CASTLEBERRY
FOUNDER
4621 S LYN CIRCLE
SOUTH EUCLID OH 44121

Officer/Director/Trustee Two

DIONNE WHITAKER
TREASURER
4621 S LYN CIRLCE
SOUTH EUCLID OH 44121

Officer/Director/Trustee Three

HATTIE CASTLEBERRY
SECRETARY
7600 LEXINGTON AVE
CLEVELAND OH 44103

Officer/Director/Trustee Four

PAULA CASTLEBERRY
DIRECTOR
7600 LEXINGTON AVE
CLEVELAND OH 44103

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/16
Organization Incorporation State OH
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: 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 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 BROOKIE CASTLEBERRY
Signature Title FOUNDER
Signature Date 11/21/19

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