FORM 1023-EZ for FOUNTAIN OF LIVING WATER MINISTRIES

Field Data
EIN 81-3633583
Case Number EO-2016321-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNTAIN OF LIVING WATER MINISTRIES
Organization’s Mailing Address 2935 HAWCREEK BLVD
City COLUMBUS
State IN
ZIP 47203
Accounting period End 12
Primary contact name REGINALD MCLAURINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD MCLAURINE
CEO
2935 HAWCREEK BLVD
COLUMBUS IN 47203

Officer/Director/Trustee Two

GWENDOLYN MCLAURINE
VICE PRESIDENT
2935 HAWCREEK BLVD
COLUMBUS IN 47203

Officer/Director/Trustee Three

JEROYL SHELLEY
MEMBER
4526 FOXPOINT CT
COLUMBUS IN 47203

Officer/Director/Trustee Four

SARAH YOUNG
MEMBER
3818 CANOPUS CT
LOUISVILLE KY 40219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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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