FORM 1023-EZ for VIDEO REVIVAL INC

Field Data
EIN 81-5353241
Case Number EO-2017052-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIDEO REVIVAL INC
Organization’s Mailing Address 346 ROGERS AVENUE
City BROOKLYN
State NY
ZIP 11225
Accounting period End 6
Primary contact name ERIK ESCOBAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK ESCOBAR
DIRECTOR
47 MCKEEVER PLACE APT 19L
BROOKLYN NY 11225

Officer/Director/Trustee Two

CHRISTIAN HENDRICKS
DIRECTOR
299 PUTNAM AVENUE
BROOKLYN NY 11216

Officer/Director/Trustee Three

JONATHAN NELSON
DIRECTOR
245 WEST 51ST STREET APT 10A
NEW YORK NY 10019

Organization’s website VIDEOREVIVAL.ORG
Organization’s email CONTACT@VIDEOREVIVAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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