FORM 1023-EZ for HOMEFRONT ROOM REVIVAL

Field Data
EIN 81-2797123
Case Number EO-2017237-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMEFRONT ROOM REVIVAL
Organization’s Mailing Address 303 TRAMWAY PLACE
City GOLDSBORO
State NC
ZIP 27534-8384
Accounting period End 5
Primary contact name KATELYN TINSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA KOMENDA
PRESIDENT/TREASURER
108 MARSHVIEW PL
GOLDSBORO NC 27534-8384

Officer/Director/Trustee Two

PAIGE STONER
VICE PRESIDENT
184 SUNSET AVE
ELLERBE NC 28338-9646

Officer/Director/Trustee Three

KERI WALSH
SECRETARY
36 COVE AVE 1
NORWALK CT 06855-2413

Officer/Director/Trustee Four

KATELYN TINSLEY
EXECUTIVE DIRECTOR (NON VOTING)
303 TRAMWAY PLACE
GOLDSBORO NC 27534-8384

Officer/Director/Trustee Five

MARK TINSLEY
DIRECTOR OF OPERATIONS (NON VOTING)
303 TRAMWAY PLACE
GOLDSBORO NC 27534-8384

Organization’s website WWW.HOMEFRONTROOMREVIVAL.ORG
Organization’s email REVIVALFAD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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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