FORM 1023-EZ for CUP OF WATER INC

Field Data
EIN 82-2956745
Case Number EO-2017278-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUP OF WATER INC
Organization’s Mailing Address 305 AUTUMN CT APT C
City BLUFFTON
State IN
ZIP 46714
Accounting period End 12
Primary contact name CHRISTOPHER L NUSBAUM ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY THACKER
PRESIDENT
305 AUTUMN CT APT C
BLUFFTON IN 46714

Officer/Director/Trustee Two

KAREN ECKELBARGER
SECRETARY
2470 N MAIN ST PO BOX 22
CRAIGVILLE IN 46731

Officer/Director/Trustee Three

BETHANY RIGBY
TREASURER
528 E DUSTMAN RD
BLUFFTON IN 46714

Officer/Director/Trustee Four

JAMES THACKER
DIRECTOR
305 AUTUMN CT APT C
BLUFFTON IN 46714

Officer/Director/Trustee Five

DAN YOTK
DIRECTOR
704 CLEVELAND ST
DECATUR IN 46733

Organization’s website HTTPS://WWW.FACEBOOK.COM/CUPOFWATERNONPROFIT/
Organization’s email CUPOFWATERINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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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