| Field | Data |
|---|---|
| EIN | 81-3527714 |
| Case Number | EO-2016232-000380 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LIVING WATER COMMUNITY CLINIC |
| Organization’s Mailing Address | 32345 CONSTITUTION HIGHWAY SUITE H |
| City | LOCUST GROVE |
| State | VA |
| ZIP | 22508 |
| Accounting period End | 12 |
| Primary contact name | JAY GARRISS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SEAN BARDEN
CHAIRMAN
11422 BLUFFS RIDGE
SPOTSYLVANIA VA 22551
RICHARD MANTHEI
SECRETARY
11608 STONEWALL JACKSON DR
SPOTSYLVANIA VA 22551
ADAM COLSON
DIRECTOR
1446 SPOTSWOOD DR
LOCUST GROVE VA 22508
JAY GARRISS
DIRECTOR
31268 KEIFERS RIDGE RD
LOCUST GROVE VA 22508
LEE FRAME
VICE CHAIRMAN
103 WOODLAND TRAIL
LOCUST GROVE VA 22508
| Organization’s website | LIVINGWATERCLINIC.LIFE |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/26/2016 |
| Organization Incorporation State | VA |
| 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: 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 | 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 | Yes |
| 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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