FORM 1023-EZ for SPRINGS OF LIVING WATER

Field Data
EIN 84-3427101
Case Number EO-2019303-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPRINGS OF LIVING WATER
Organization’s Mailing Address 200 TRACEY AVE
City KANSAS
State MO
ZIP 64106
Accounting period End 6
Primary contact name BEREKET MAMO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ETSEGENET MAMO
OFFICER
200 TRACEY AVE
KANSAS MO 64106

Officer/Director/Trustee Two

BEREKET MAMO
PRESIDENT
200 TRACEY AVE
KANSAS MO 64106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/19
Organization Incorporation State NC
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: No
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 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 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 BEREKET MAMO
Signature Title PRESIDENT
Signature Date 10/28/19

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