FORM 1023-EZ for REVELATION PEAK PERFORMANCE TRACK CLUB INC

Field Data
EIN 90-0744596
Case Number EO-2016246-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVELATION PEAK PERFORMANCE TRACK CLUB INC
Organization’s Mailing Address 317 JOHNSON LANE
City WINTERVILLE
State NC
ZIP 28590
Accounting period End 12
Primary contact name EARL R OWENS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL OWENS
PRESIDENT/FOUNDER
317 JOHNSON LANE
WINTERVILLE NC 28590

Officer/Director/Trustee Two

KEVIN LITTLEJOHN
VICE-PRESIDENT
1740 COLLAMER AVE
CLEVELAND OH 44112

Officer/Director/Trustee Three

EMMANUELLE QUENUM
SECRETARY
2708 BLUFF VIEW DR APT B
GREENVILLE NC 27834

Officer/Director/Trustee Four

HARVEY WHITE
TREASURER
4343 CHARLES BLVD
GREENVILLE NC 27858

Officer/Director/Trustee Five

CASEY OWENS
MEMBER
1513 GOVERNORS ROAD
WINDSOR NC 27983

Organization’s website
Organization’s email REESEOWENS360@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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