FORM 1023-EZ for LIVING FOUNTAIN OF LIFE DELIVERANCECENTER INC

Field Data
EIN 20-0757236
Case Number EO-2015036-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING FOUNTAIN OF LIFE DELIVERANCECENTER INC
Organization’s Mailing Address 89 ROSE AVENUE
City VALLEY STREAM
State NY
ZIP 11580
Accounting period End 12
Primary contact name ICYLINE BROWN CURRIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ICYLINE BROWN-CURRIER
PREIDENT
89 ROSE AVENUE
VALLEY STREAM NY 11580

Officer/Director/Trustee Two

VERNAL HALL
OFFICER
1801 UNION STREET
BROOKLYN NY 11213

Officer/Director/Trustee Three

CHRISTINA E CURRIER
OFFICER
89 ROSE AVENUE
VALLEY STREAM NY 11580

Officer/Director/Trustee Four

SARAH FAIRBAIRN
OFFICER
187-08 REDIGALE STREET
SPRINFIELD GDNS NY 11413

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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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