FORM 1023-EZ for FOUNTAIN OF LIFE MINISTRIES

Field Data
EIN 27-0629619
Case Number EO-2020258-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNTAIN OF LIFE MINISTRIES
Organization’s Mailing Address 2430 AUSLEY BEND DR NW
City HARTSELLE
State AL
ZIP 35640
Accounting period End 12
Primary contact name ASHLEY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDETTE OWENS
DIRECTOR
2430 AUSLEY BEND DR NW
HARTSELLE AL 35640

Officer/Director/Trustee Two

EDWARD OWENS
DIRECTOR
2430 AUSLEY BEND DR NW
HARTSELLE AL 35640

Officer/Director/Trustee Three

DEITRA MOBLEY
DIRECTOR
4413 MARLOWE
ACKWORTH GA 30101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2002
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CLAUDETTE OWENS
Signature Title DIRECTOR
Signature Date 9/9/2020

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