FORM 1023-EZ for LIVNG WATER PRODUCE

Field Data
EIN 30-1263792
Case Number EO-2021144-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVNG WATER PRODUCE
Organization’s Mailing Address 116 S GILLETTE AVENUE
City GILLETTE
State WY
ZIP 82716
Accounting period End 12
Primary contact name KACIE CZAPLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE RENNELL
CHAIRPERSON
2621 WHITETAIL STREET
GILLETTE WY 82718

Officer/Director/Trustee Two

JANET CZAPLA
VICE CHAIR
PO BOX 636
GILLETTE WY 82717

Officer/Director/Trustee Three

DAVID CZAPLA
SYSEM MAINTENANCE
PO BOX 636
GILLETTE WY 82717

Officer/Director/Trustee Four

THAYNE GRAY
TREASURER
PO BOX 729
MOORCROFT WY 82721

Officer/Director/Trustee Five

ANN HARDESTY
MEMBER AT LARGE
209 MUSCOVY
GILLETTE WY 82718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2020
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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 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 JANET CZAPLA
Signature Title VICE CHAIR
Signature Date 5/21/2021

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