FORM 1023-EZ for THE LIVING WELL MINISTRY INC

Field Data
EIN 81-4681631
Case Number EO-2017017-000457
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LIVING WELL MINISTRY INC
Organization’s Mailing Address P O BOX 2028
City OCEAN SPRINGS
State MS
ZIP 39566
Accounting period End 12
Primary contact name ELIAH MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA JACOBS
CHAIRPERSON
8809 MARGUERITE DRIVE
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Two

SANDRA MILLER
SECRETARY
179 BECHTEL BOEVELARD
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Three

CINDY JACOBS
TREASURER
120 LINDA CIRCLE
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Four

LINDA SHUMAN
BOARD MEMBER
7840 RUE MORGAN
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Five

ELIJAH MITCHELL
ADVISOR
15398 VICK ROAD
GULFPORT MS 39503

Organization’s website N/A
Organization’s email ELIJAHMITCHELL43@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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
Signature Title
Signature Date

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