FORM 1023-EZ for REVELATION STATION

Field Data
EIN 82-1948799
Case Number EO-2019235-000277
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVELATION STATION
Organization’s Mailing Address 1339 HWY 587
City OAK GROVE
State LA
ZIP 71263
Accounting period End 12
Primary contact name CHARLES MCLEMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES MCLEMORE
PRESIDENT
236 BASIL ROAD
OAK GROVE LA 71263

Officer/Director/Trustee Two

JEFFERSON KELLY COLEMAN
TREASURER
250 AARONS LANE
OAK GROVE LA 71263

Officer/Director/Trustee Three

DONALD CARL RILEY
SECRETARY
205 AIRPORT RD
OAK GROVE LA 71263

Officer/Director/Trustee Four

SCOTT ANTHONY GARRETT
DIRECTOR
837 HARPER LOOP
OAK GROVE LA 71263

Officer/Director/Trustee Five

JESSIE LEE STEED
DIRECTOR
7622 HWY 585
OAK GROVE LA 71263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/17
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 Yes
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 CHARLES MCLEMORE
Signature Title PRESIDENT
Signature Date 8/21/19

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