FORM 1023-EZ for A WELL OF LIVING WATER CHRISTIAN MINISTRIES INC

Field Data
EIN 32-0115758
Case Number EO-2021257-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WELL OF LIVING WATER CHRISTIAN MINISTRIES INC
Organization’s Mailing Address 3950 NW 186TH STREET
City MIAMI GARDENS
State FL
ZIP 33055
Accounting period End 12
Primary contact name GENEVIEVE CARVIL-HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLOVER ROGERS JR
P
3950 NW 186TH STREET
MIAMI GARDENS FL 33055

Officer/Director/Trustee Two

TAMARA BURNS-SUTPHEN
T
2086 NW 5TH PLACE
MIAMI FL 33127

Officer/Director/Trustee Three

NATHANIEL JACKSON JR
VP
3950 NW 186TH STREET
MIAMI GARDENS FL 33055

Officer/Director/Trustee Four

ALEXIS KING
S
19020 NW 8TH AVENUE
MIAMI FL 33169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2004
Organization Incorporation State FL
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLOVER ROGERS JR
Signature Title P
Signature Date 9/13/2021

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