FORM 1023-EZ for REVIVAL BARN MINISTRIES

Field Data
EIN 83-4190674
Case Number EO-2019130-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL BARN MINISTRIES
Organization’s Mailing Address 140 N DAVIS ROAD
City LAGRANGE
State GA
ZIP 30241
Accounting period End 12
Primary contact name ORALIA GARI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSVELT GARI
CEO
140 N DAVIS RD
LAGRANGE GA 30241

Officer/Director/Trustee Two

ORALIA GARI
CFO
140 N DAVIS RD
LAGRANGE GA 30241

Officer/Director/Trustee Three

GABRIELA GARI
SECRETARY
140 N DAVIS
LAGRANGE GA 30241

Organization’s website REVIVALBARNMINISTRIES.COM
Organization’s email INFO@REVIVALBARNMINISTRIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 ORALIA GARI
Signature Title CFO
Signature Date 5/8/19

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