FORM 1023-EZ for LIVING WATERS MINISTRIES INTERNATIONAL INC

Field Data
EIN 82-0823738
Case Number EO-2017083-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING WATERS MINISTRIES INTERNATIONAL INC
Organization’s Mailing Address 14393 WAYFIELD LANE
City STANFIELD
State NC
ZIP 28163
Accounting period End 12
Primary contact name MARY JANE FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY FISHER
CHAIRPERSON
14393 WAYFIELD LN
STANFIELD NC 28163

Officer/Director/Trustee Two

WILLIAM GRAAFSMA
VICE CHAIRPERSON
8009 HUNLEY RIDGE RD
MATTHEWS NC 28104

Officer/Director/Trustee Three

DEBBYE GRAAFSMA
SECRETARY/TREASURER
8009 HUNLEY RIDGE RD
MATTHEWS NC 28104

Officer/Director/Trustee Four

PHILLIP PUCKETT
BOARD MEMBER
14024 IDLEWILD ROAD
MATTHEWS NC 28105

Officer/Director/Trustee Five

CAROL PUCKETT
BOARD MEMBER
14024 IDLEWILD ROAD
MATTHEWS NC 28105

Organization’s website
Organization’s email LIVINGWATERSMINII@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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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