FORM 1023-EZ for COMMUNITY REVITALIZATION MISSION OFSERVICE

Field Data
EIN 83-1898219
Case Number EO-2019324-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY REVITALIZATION MISSION OFSERVICE
Organization’s Mailing Address 285 JOHNSON BLVD
City NEW KENSINGTON
State PA
ZIP 15068
Accounting period End 9
Primary contact name VINCENT PONDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH JOHNSON
TRUSTEE
3461 PENN AVE APT 311
PITTSBURGH PA 15206

Officer/Director/Trustee Two

GREGORY HOLTS
VICE PRESIDENT
848 COTTONWOOD DRIVE
MONROEVILLE PA 15146

Officer/Director/Trustee Three

DAWN HENNESSY
COMMUNITY OUTREACH
338 MAIN STREET
LATROBE PA 15650

Officer/Director/Trustee Four

PRECIOUS JONES
COMMUNITY OUTREACH
285 JOHNSON
NEW KENSINGTON PA 15068

Officer/Director/Trustee Five

VINCENT PONDER
COUNSELOR OUTREACH
285 JOHNSON BLVD
NEW KENSINGTON PA 15068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 VINCENT PONDER
Signature Title COUNSELOR OUTREACH
Signature Date 11/18/19

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