FORM 1023-EZ for FOUNTAIN OF LIVING WATER MINISTRIES

Field Data
EIN 20-1168216
Case Number EO-2021162-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNTAIN OF LIVING WATER MINISTRIES
Organization’s Mailing Address 10670 TUTTLEHILL RD
City MILAN
State MI
ZIP 48160
Accounting period End 5
Primary contact name BARBARA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA WILLIAMS
DIRECTOR
9554 PINEHURST ST
DETROIT MI 48204

Officer/Director/Trustee Two

RICHARD MUSTAFA
DIRECTOR 2
12327 GALLAGHER
DETROIT MI 48212

Officer/Director/Trustee Three

KAMEELA CLARK
DIRECTOR 3
19650 CARDONI ST
HIGHLAND PARK MI 48203

Officer/Director/Trustee Four

JAMEEL MUSTAFA
DIRECTOR 4
10670 TUTTLEHILL RD
MILAN MI 48160

Officer/Director/Trustee Five

JONATHAN WILLIAMS
DIRECTOR 4
9554 PINEHURST ST
DETROIT MI 48204

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BARBARA WILLIAMS
Signature Title DIRECTOR
Signature Date 6/9/2021

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