FORM 1023-EZ for GERI CARE II INC DBA LIVING WATER LEGACY INC

Field Data
EIN 43-1857323
Case Number EO-2019080-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GERI CARE II INC DBA LIVING WATER LEGACY INC
Organization’s Mailing Address 10559 WINDSWEPT DRIVE
City SUNSET HILLS
State MO
ZIP 63128
Accounting period End 12
Primary contact name CHRISTINE SALTER MD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL KISUNZU PHD
VICE PRESIDENT
7322 BULL RUN POST OFFICE DRIVE
CENTREVILLE VA 20120

Officer/Director/Trustee Two

CHRISTINE SALTER MD
PRESIDENT
10559 WINDSWEPT DRIVE
SUNSET HILLS MO 63128

Officer/Director/Trustee Three

BEVERLY DICKERSON
SECRETARY
209 BAYLEE MIKA PLACE
JOELTON TN 37080

Officer/Director/Trustee Four

ANGELA LOMACANG
OFFICER
2804 NEW LAKE ROAD
WEST FRANKFORT IL 62896

Officer/Director/Trustee Five

CLAIRE WILLIE MD
OFFICER
285 CENTENNIAL OLYMPIC PK DRIVE NW
ATLANTA GA 30313

Organization’s website N/A
Organization’s email DRSALTER@DRSALTER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/99
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 Yes
Correctness Declaration Yes
Signature Name CHRISTINE SALTER MD
Signature Title PRESIDENT
Signature Date 3/19/19

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