FORM 1023-EZ for COOL WATERS FOUNDATION

Field Data
EIN 47-5651593
Case Number EO-2015331-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COOL WATERS FOUNDATION
Organization’s Mailing Address 4601 LOCUST LANE STE 305
City HARRISBURG
State PA
ZIP 17109-4446
Accounting period End 12
Primary contact name ESTER MBAYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ESTER MBAYA
PRESIDENT
5236 WINDING WAY
HARRISBURG PA 17109-6343

Officer/Director/Trustee Two

LUCIANO FOYA
OFFICER
5236 WINDING WAY
HARRISBURG PA 17109-6343

Organization’s website
Organization’s email COOLWATERS29@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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