FORM 1023-EZ for WATERLOO RIDGE FARM

Field Data
EIN 87-3065543
Case Number EO-2021293-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WATERLOO RIDGE FARM
Organization’s Mailing Address 4962 WATERLOO ROAD
City BURLINGTON
State KY
ZIP 41011
Accounting period End 12
Primary contact name EVAN STEVENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN STEVENS
PRESIDENT
49 EAST ORCHARD ROAD
FORT MITCHELL KY 41011

Officer/Director/Trustee Two

DON EMERSON
DIRECTOR
4962 WATERLOO ROAD
BURLINGTON KY 41005

Officer/Director/Trustee Three

JACOB WARWICK
VICE PRESIDENT
4962 WATERLOO ROAD
BURLINGTON KY 41005

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2021
Organization Incorporation State KY
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 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 EVAN STEVENS
Signature Title PRESIDENT
Signature Date 10/18/2021

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