FORM 1023-EZ for LIVING WATER COMMUNITY OUTREACH INC

Field Data
EIN 47-4055011
Case Number EO-2015274-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING WATER COMMUNITY OUTREACH INC
Organization’s Mailing Address 15226 WINCHESTER AVE
City HARVEY
State IL
ZIP 60426
Accounting period End 9
Primary contact name JOHN ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLARENCE OLLOWAY
PRESIDENT
15226 S WINCHESTER
HARVEY IL 60426

Officer/Director/Trustee Two

KENYETTA ALLEN
TREASURER
906 S RACINE AVE
CHICAGO IL 60607

Officer/Director/Trustee Three

JOANN FISHER
SECRETARY
2901 S MICHIGAN AVE
CHICAGO IL 60616

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 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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