FORM 1023-EZ for PROJECT REVIVAL
| Field | Data |
|---|---|
| EIN | 84-3740172 |
| Case Number | EO-2019343-000239 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROJECT REVIVAL |
| Organization’s Mailing Address | 807 S JAY STREET |
| City | WEST MILTON |
| State | OH |
| ZIP | 45383 |
| Accounting period End | 12 |
| Primary contact name | LINDA CANTRELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELLY KLOSTERMAN
PRESIDENT
8422 STATE ROUTE 118
GREENVILLE OH 45331
Officer/Director/Trustee Two
SARAH COPP
CO-PRESIDENT
807 S JAY STREET
WEST MILTON OH 45383
Officer/Director/Trustee Three
LINDA CANTRELL
SECRETARY/ TREASURER
PO BOX 187
CASSTOWN OH 45312
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/5/2019 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | Yes |
| 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 | SHELLY KLOSTERMAN |
| Signature Title | PRESIDENT |
| Signature Date | 12/5/2019 |
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