FORM 1023-EZ for LIVE WELL WATER INC

Field Data
EIN 85-3273365
Case Number EO-2020311-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE WELL WATER INC
Organization’s Mailing Address 131 EUFAULA STREET
City GULF BREEZE
State FL
ZIP 32561
Accounting period End 12
Primary contact name OLIVIA HEPWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLIVIA HEPWORTH
PRESIDENT
131 EUFAULA STREET
GULF BREEZE FL 32561

Officer/Director/Trustee Two

YERLING RAMOS-TERCERRO
TREASURER
131 EUFAULA STREET
GULF BREEZE FL 32561

Officer/Director/Trustee Three

KYLE MCGEE
SECRETARY
131 EUFAULA STREET
GULF BREEZE FL 32561

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 No
Correctness Declaration Yes
Signature Name OLIVIA HEPWORTH
Signature Title PRESIDENT
Signature Date 11/4/2020

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