FORM 1023-EZ for WATER LILY INTERNATIONAL

Field Data
EIN 83-2033390
Case Number EO-2018273-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATER LILY INTERNATIONAL
Organization’s Mailing Address 160 S MUNICIPAL DRIVE SUITE 100
City SUGAR GROVE
State IL
ZIP 60554
Accounting period End 12
Primary contact name JAMES WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WHITE
OFFICER/DIRECTOR
160 S MUNICIPAL DR STE 100
SUGAR GROVE IL 60554

Officer/Director/Trustee Two

LISA WHITE
OFFICER/DIRECTOR
160 S MUNICIPAL DR STE 100
SUGAR GROVE IL 60554

Officer/Director/Trustee Three

LARRY JONES
DIRECTOR
160 S MUNICIPAL DR STE 100
SUGAR GROVE IL 60554

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/18
Organization Incorporation State IL
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: Yes
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 Yes
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 Yes
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 JAMES WHITE
Signature Title OFFICER/DIRECTOR
Signature Date 9/26/18

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