FORM 1023-EZ for LIVING WATERS FARM

Field Data
EIN 82-0911364
Case Number EO-2020227-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING WATERS FARM
Organization’s Mailing Address 769 OWLS NEST CT
City MAINEVILLE
State OH
ZIP 45039
Accounting period End 12
Primary contact name STEPHANIE KEMPLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE KEMPLIN
CEO/FOUNDER
769 OWLS NEST CT
MAINEVILLE OH 45039

Officer/Director/Trustee Two

AMY KEMPLIN
BOARD MEMBER
7829 SURREYWOOD DR
CINCINNATI OH 45052

Officer/Director/Trustee Three

CATHERINE FULLER
BOARD MEMBER
7113 DELAWARE AVE
CINCINNATI OH 45236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHANIE KEMPLIN
Signature Title CEO/FOUNDER
Signature Date 8/12/2020
EIN 82-0911364
Case Number EO-2017083-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING WATERS FARM
Organization’s Mailing Address 769 OWLS NEST CT
City MAINEVILLE
State OH
ZIP 45039
Accounting period End 12
Primary contact name STEPHANIE L KEMPLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE KEMPLIN
FOUNDER
769 OWLS NEST COURT
MAINEVILLE OH 45039

Officer/Director/Trustee Two

AMY MUDDIMAN
DIRECTOR
785 WILBUD DRIVE
CINCINNATI OH 45205

Officer/Director/Trustee Three

CATHERINE FULLER
DIRECTOR
7113 DELAWARE AVENUE
CINCINNATI OH 45236

Officer/Director/Trustee Four

MALLORY CHATTOPADHYA
DIRECTOR
3176 AUTUMN COURT
MAINEVILLE OH 45039

Organization’s website
Organization’s email STEPHANIEKEMPLIN@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2017
Organization Incorporation State OH
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: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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