FORM 1023-EZ for THE WELL THAT NEVER RUNS DRY INC

Field Data
EIN 81-2650999
Case Number EO-2016147-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WELL THAT NEVER RUNS DRY INC
Organization’s Mailing Address 12147 WARDTOWN RD
City PERRYSBURG
State NY
ZIP 14129
Accounting period End 12
Primary contact name DAVID P LAZENSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLAS VALENTINE
DIRECTOR, PRESIDENT
12147 WARDTOWN RD
PERRYSBURG NY 14129

Officer/Director/Trustee Two

CHAD FRAZIER
DIRECTOR
12147 WARDTOWN RD
PERRYSBURG NY 14129

Officer/Director/Trustee Three

ASHLEY BOTICELLO
DIRECTOR
12147 WARDTOWN RD
PERRYSBURG NY 14129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
One Third Support Gifts No
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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