FORM 1023-EZ for REVIVAL CONCEPT CORPORATION

Field Data
EIN 85-3274242
Case Number EO-2020314-000509
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL CONCEPT CORPORATION
Organization’s Mailing Address PO BOX 2168
City SUN CITY
State CA
ZIP 92586
Accounting period End 12
Primary contact name RONALD CHARLES CHATMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD CHATMAN
PRESIDENT
27150 SHADEL RD SPACE 122
SUN CITY CA 92586

Officer/Director/Trustee Two

LATOSHA TURNER
TREASURER
27150 SHADEL RD SPACE 122
SUN CITY CA 92586

Officer/Director/Trustee Three

WANDA BURNETT
SECRETARY
551 N SANTA FE ST APT 88
HEMET CA 92543

Officer/Director/Trustee Four

ALICIA JONES
DIRECTOR
12813 WESTBURY DR
MORENO VALLEY CA 92553

Organization’s website HTTP://WWW.REVIVAL@RONCHAT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RONALD CHATMAN
Signature Title PRESIDENT
Signature Date 11/6/2020

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