FORM 1023-EZ for REVITALIZE FARMS INC

Field Data
EIN 45-5435974
Case Number EO-2018267-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVITALIZE FARMS INC
Organization’s Mailing Address 3636 KEYSTONE AVENUE 1
City LOS ANGELES
State CA
ZIP 90034
Accounting period End 12
Primary contact name WAYNE BYRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE BYRD
PRESIDENT/ EXECUTIVE DIRECTOR
3636 KEYSTONE AVENUE 1
LOS ANGELES CA 90034

Officer/Director/Trustee Two

SARAH BREKKE
TREASURER/ SECRETARY
3636 KEYSTONE AVENUE 1
LOS ANGELES CA 90034

Officer/Director/Trustee Three

INGRID BYRD
DIRECTOR
12530 VENICE BLVD 6
LOS ANGELES CA 90066

Officer/Director/Trustee Four

JOHN BYRD
DIRECTOR
2914 S HARVARD BLVD
LOS ANGELES CA 90018

Officer/Director/Trustee Five

SAMANTHA BREKKE
DIRECTOR
3636 KEYSTONE AVE 5
LOS ANGELES CA 90034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/12
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAYNE BYRD
Signature Title PRESIDENT/ EXECUTIVE DIRECTOR
Signature Date 9/20/18

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