FORM 1023-EZ for PURE WATER FOR LIFE

Field Data
EIN 81-4513101
Case Number EO-2016333-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURE WATER FOR LIFE
Organization’s Mailing Address 14933 SE JACKSON HILLS DR
City HAPPY VALLEY
State OR
ZIP 97086
Accounting period End 12
Primary contact name SARABJEET WARAICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARABJEET WARAICH
REGISTERED AGENT
14933 SE JACKSON HILLS DR
HAPPY VALLEY OR 97086

Officer/Director/Trustee Two

SIMAR WARAICH
MEMBER
14933 SE JACKSON HILLS DR
HAPPY VALLEY OR 97086

Officer/Director/Trustee Three

DIVJOT WARAICH
MEMBER
14933 SE JACKSON HILLS DR
HAPPY VALLEY OR 97086

Organization’s website WWW.PUREWATERFORLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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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