FORM 1023-EZ for REVEL CREEK

Field Data
EIN 84-3276264
Case Number EO-2019284-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVEL CREEK
Organization’s Mailing Address 2400 PORTAGE ST
City KALAMAZOO
State MI
ZIP 49001
Accounting period End 6
Primary contact name RACHEL OLMSTED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY PRINCE
PRESIDENT & CEO
2400 PORTAGE ST
KALAMAZOO MI 49001

Officer/Director/Trustee Two

WILLIAM MILLARD
TREASURER
2400 PORTAGE ST
KALAMAZOO MI 49001

Officer/Director/Trustee Three

RACHEL OLMSTED
CHIEF FINANCIAL OFFICER
2400 PORTAGE ST
KALAMAZOO MI 49001

Officer/Director/Trustee Four

REX BELL
BOARD PRESIDENT
2400 PORTAGE ST
KALAMAZOO MI 49001

Officer/Director/Trustee Five

M PATRICIA FUEHR
SECRETARY
2400 PORTAGE ST
KALAMAZOO MI 49001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 RACHEL OLMSTED
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 10/7/19

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