FORM 1023-EZ for REVIVE FITNESS

Field Data
EIN 86-1449121
Case Number EO-2021064-002149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVE FITNESS
Organization’s Mailing Address 775 DARTMOUTH DR
City ROCHESTER HILLS
State MI
ZIP 48307
Accounting period End 12
Primary contact name OLIVIA ELIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLIVIA ELIAS
CHAIRMAN OF THE BOARD
775 DARTMOUTH DR
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Two

FARAH FASHHO
EXECUTIVE DIRECTOR
1081 SHEFFIELD PARK LN
OAKLAND TWP MI 48363

Organization’s website WWW.REVIVEFITNESSHEALTH.COM
Organization’s email REVIVEHEALTHMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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 OLIVIA ELIAS
Signature Title CHAIRMAN OF THE BOARD
Signature Date 1/14/2021

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