FORM 1023-EZ for REVIVAL ARTS

Field Data
EIN 85-4238883
Case Number EO-2021139-000025
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL ARTS
Organization’s Mailing Address 1330 SOUTH GRANT STREET
City DENVER
State CO
ZIP 80210
Accounting period End 12
Primary contact name CRYSTAL MCCLAIN VICE PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA MEYERS
PRESIDENT
1330 S GRANT ST
DENVER CO 80210

Officer/Director/Trustee Two

CRYSTAL MCCLAIN
VICE PRESIDENT
325 ALEXANDER ST APT 37
ROCHESTER NY 14607

Officer/Director/Trustee Three

ANNE LEBEDNIK
BOARD MEMBER
4707 TWIN POST RD
DALLAS TX 75244

Officer/Director/Trustee Four

AMBER BRACKETT
BOARD MEMBER
5652 W 11TH PL
LAKEWOOD CO 80214

Organization’s website
Organization’s email REVIVALARTSDENVER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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 CRYSTAL MCCLAIN
Signature Title VICE PRESIDENT
Signature Date 5/12/2021

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