FORM 1023-EZ for APPIAN WATER

Field Data
EIN 85-4172386
Case Number EO-2021062-000749
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPIAN WATER
Organization’s Mailing Address 3057 SOUTH HIGUERA 78
City SAN LUIS OBISPO
State CA
ZIP 93401
Accounting period End 3
Primary contact name MICHAEL VISCONTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN NICHOLAS-HARPER
PRESIDENT, CEO
3057 SOUTH HIGUERA 78
SAN LUIS OBISPO CA 93401-6478

Officer/Director/Trustee Two

ARINDRANI WINDYASWARI PRISTINA
TREASURER, CFO
140 CORNERSTONE LANE
ARROYO GRANDE CA 93420-4429

Officer/Director/Trustee Three

MICHAEL VISCONTI
SECRETARY
130 FERNWOOD DRIVE
SAN FRANCISCO CA 94127-2006

Organization’s website HTTPS://WWW.APPIANWATER.ORG/
Organization’s email MWV@APPIANWATER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 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 MICHAEL VISCONTI
Signature Title SECRETARY
Signature Date 12/28/2020

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