| Field | Data |
|---|---|
| EIN | 86-2407724 |
| Case Number | EO-2021187-000225 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RECOVER AND REVIVE FOUNDATION |
| Organization’s Mailing Address | 801 MARTIN LUTHER KING JR BLVD |
| City | FARRELL |
| State | PA |
| ZIP | 16121 |
| Accounting period End | 12 |
| Primary contact name | ROBERT LACKEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SAMANTHA BROOKS
PRESIDENT AND CEO
2147 HOEZLE ROAD
HERMITAGE PA 16148
TAYLOR JOHNS
TRUSTEE AND TREASURER
310 COLLEGE PARK DRIVE
MONROEVILLE PA 15146
DANIEL REED
TRUSTEE AND BOARD CHAIR
171 FLICK ROAD
HADLEY PA 16130
KARLI DATISH
TRUSTEE AND VICE CHAIR
1030 TORREY PINES STREET
WARREN OH 44484
OLIVIA BROWN
TRUSTEE AND SECRETARY
221 ST GLORY ROAD
GREENVILLE PA 16125
| Organization’s website | WWW.RECOVERANDREVIVEFOUNDATION.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/29/2021 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | 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 | SAMANTHA BROOKS |
| Signature Title | PRESIDENT AND CEO |
| Signature Date | 7/1/2021 |
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