FORM 1023-EZ for LIVING WATERS PRISON MINISTRIES

Field Data
EIN 82-3580402
Case Number EO-2019035-000809
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING WATERS PRISON MINISTRIES
Organization’s Mailing Address 4271 W 21ST STREET
City CLEVELAND
State OH
ZIP 44109
Accounting period End 12
Primary contact name LUCIUS JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCIUS JACKSON
PRESIDENT
4271 WEST 21ST STREET
CLEVELAND OH 44109

Officer/Director/Trustee Two

WANDA JACKSON
VICE PRESIDENT
4271 WEST 21ST STREET
CLEVELAND OH 44109

Officer/Director/Trustee Three

JOE SHEPPARD
SECRETARY
12730 SHAKER BLVD 1011
SHAKER HTS OH 44120

Officer/Director/Trustee Four

WANDA JACKSON
TREASURER
4271 WEST 21ST STREET
CLEVELAND OH 44109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 LUCIUS JACKSON
Signature Title PRESIDENT
Signature Date 1/13/19

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