FORM 1023-EZ for REVIVE KC
| Field | Data |
|---|---|
| EIN | 87-1417695 |
| Case Number | EO-2021181-000170 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REVIVE KC |
| Organization’s Mailing Address | 3800 SW SANDSTONE DRIVE |
| City | LEES SUMMIT |
| State | MO |
| ZIP | 64082 |
| Accounting period End | 12 |
| Primary contact name | TERRELL JOLLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TERRELL JOLLY
PRESIDENT
3800 SW SANDSTONE DRIVE
LEES SUMMIT MO 64082
Officer/Director/Trustee Two
KRYSTAL JOLLY
BOARD OF DIRECTOR
3800 SW SANDSTONE DRIVE
LEES SUMMIT MO 64082
Officer/Director/Trustee Three
DOUG NGOMSI
BOARD OF DIRECTOR
14413 BRISTOL AVENUE
GRANDVIEW MO 64030
Officer/Director/Trustee Four
CHANTELL GARRETT
BOARD OF DIRECTOR
5204 GARFIELD AVENUE
KANSAS CITY MO 64130
| Organization’s website | |
|---|---|
| Organization’s email | REVIVEKC21@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/5/2021 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L81 - Home Improvement and Repairs |
| 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 | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | CHANTELL GARRETT |
| Signature Title | BOARD OF DIRECTOR |
| Signature Date | 6/28/2021 |
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