FORM 1023-EZ for REVAMP CLT

Field Data
EIN 85-1652792
Case Number EO-2021084-000022
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVAMP CLT
Organization’s Mailing Address 4510 SUGARBERRY DRIVE
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 12
Primary contact name LESLIE HUNTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE HUNTER
DIRECTOR
4510 SUGARBERRY DR
CHARLOTTE NC 28269

Officer/Director/Trustee Two

PRUTHU PATEL
CHAIRMAN
4236 TRAILS END RD
CHARLOTTE NC 27020

Officer/Director/Trustee Three

MATTHEW GREEN
TREASURER
7804 HOLLISWOOD CT APT 833
CHARLOTTE NC 28217

Officer/Director/Trustee Four

LUCIA COPPOLA
SECRETARY
4510 SUGARBERRY DR
CHARLOTTE NC 28269

Organization’s website revampclt.org
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 LESLIE HUNTER
Signature Title DIRECTOR
Signature Date 11/17/2020

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