FORM 1023-EZ for AWAKE IREVIVAL

Field Data
EIN 46-5743882
Case Number EO-2015061-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AWAKE IREVIVAL
Organization’s Mailing Address 1460 CHERRYWOOD DR
City SAN MATEO
State CA
ZIP 94403
Accounting period End 12
Primary contact name ADAM RAHMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM RAHMAN
CEO
1460 CHERRYWOOD DR
SAN MATEO CA 94403

Officer/Director/Trustee Two

HATIM RAHMAN
CFO
1460 CHERRYWOOD DR
SAN MATEO CA 94403

Officer/Director/Trustee Three

SALMAN SYED
SECRETARY
2 MICHAEL COURT
LAKE IN THE HILLS IL 60156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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