FORM 1023-EZ for SOUL REVIVAL MINISTRIES

Field Data
EIN 85-3601249
Case Number EO-2020303-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUL REVIVAL MINISTRIES
Organization’s Mailing Address 4267 CENTRAL PIKE
City HERMITAGE
State TN
ZIP 37076
Accounting period End 10
Primary contact name RENEE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS WELBORN
PRESIDENT
4267 CENTRAL PIKE
HERMITAGE TN 37076

Officer/Director/Trustee Two

RENEE WILLIAMS
VICE PRESIDENT/SECRETARY
4267 CENTRAL PIKE
HERMITAGE TN 37076

Officer/Director/Trustee Three

MARK COWAN
TRUSTEE
345 LAKEVIEW CIRCLE
MT. JULIET TN 37122

Officer/Director/Trustee Four

MICHAEL VAUGHAN
TRUSTEE
2125 BLAKEMORE AVENUE
NASHVILLE TN 37212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 RENEE WILLIAMS
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 10/27/2020

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