FORM 1023-EZ for SCRIPTURAL WATER BOTTLE INC

Field Data
EIN 46-5050004
Case Number EO-2014233-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SCRIPTURAL WATER BOTTLE INC
Organization’s Mailing Address 401 LAKEVIEW DRIVE
City YORK
State PA
ZIP 17403
Accounting period End 12
Primary contact name DAVID SIEGEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSE SCHIESSER
CEO AND DIRECTOR
401 LAKEVIEW DRIVE
YORK PA 17403

Officer/Director/Trustee Two

DAVID SIEGEL
DIRECTOR
3215 LYNWOOD LANE
YORK PA 17402

Officer/Director/Trustee Three

TRAVIS SCHIESSER
DIRECTOR
850 MARVELL DRIVE
YORK PA 17402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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