FORM 1023-EZ for AQUAM VIVENTEM INC

Field Data
EIN 86-3081589
Case Number EO-2021109-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AQUAM VIVENTEM INC
Organization’s Mailing Address 92 W PALM DR
City MARGATE
State FL
ZIP 33063-4551
Accounting period End 2
Primary contact name CHARLES MAKEPEACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES MAKEPEACE
PRESIDENT
92 W PALM DR
MARGATE FL 33063-4551

Officer/Director/Trustee Two

STEPHEN PREM
VICE PRESIDENT
300 SE 6TH COURT
POMPANO BEACH FL 33060

Officer/Director/Trustee Three

MICHAEL TERCHA
VICE PRESIDENT
2714 NW 52ND ST
TAMARAC FL 33309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 CHARLES MAKEPEACE
Signature Title PRESIDENT
Signature Date 4/16/2021

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