FORM 1023-EZ for ADVENTIST REVIVAL MINISTRIES

Field Data
EIN 86-2153203
Case Number EO-2021099-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADVENTIST REVIVAL MINISTRIES
Organization’s Mailing Address 1546 4TH AVENUE
City DEER TRAIL
State CO
ZIP 80105
Accounting period End 12
Primary contact name STEVEN PAYSINGER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL WAKEFIELD
PRESIDENT
PO BOX 182
DEER TRAIL CO 80105

Officer/Director/Trustee Two

BENJAMIN VANFOSSEN
VICE PRESIDENT
3960 SOUTH WADSWORTH BOULEVARD
LAKEWOOD CO 80235-2297

Officer/Director/Trustee Three

SHARON VELASQUEZ
VICE PRESIDENT
11186 W ARBOR DRIVE
LITTLETON CO 80127

Officer/Director/Trustee Four

SAVANA WAKEFIELD
TREASURER AND SECRETARY
PO BOX 182
DEER TRAIL CO 80105

Officer/Director/Trustee Five

LEANNA HICKMAN
ASSISTANT TREASURER & SECRETARY
7580 SHERIDAN COURT
LITTLETON CO 80128

Organization’s website
Organization’s email ADMIN@ADVENTISTREVIVALMINISTRIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 PAUL WAKEFIELD
Signature Title PRESIDENT
Signature Date 3/31/2021

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