FORM 1023-EZ for REVIVAL CENTER INTERNATIONAL WORLDEVANGELISM

Field Data
EIN 90-0788130
Case Number EO-2018291-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL CENTER INTERNATIONAL WORLDEVANGELISM
Organization’s Mailing Address 5575 MACK ROAD
City SACRAMENTO
State CA
ZIP 95823
Accounting period End 12
Primary contact name JOSEPHINE VERMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPHINE VERMA
CEO
8809 SAILFISH CIRCLE
SACRAMENTO CA 95828

Officer/Director/Trustee Two

SONIYA MASIH
SECRETARY
5433 ROCKWELL ROAD
SACRAMENTO CA 95660

Officer/Director/Trustee Three

AHILIA SINGH
CFO
8297 GLENDON WAY
SACRAMENTO CA 95829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 JOSEPHINE VERMA
Signature Title CEO
Signature Date 10/16/18
EIN 90-0788130
Case Number EO-2018291-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL CENTER INTERNATIONAL WORLD EVANGELISM
Organization’s Mailing Address 5575 MACK ROAD
City SACRAMENTO
State CA
ZIP 95823
Accounting period End 12
Primary contact name JOSEPHINE VERMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPHINE VERMA
CEO
8809 SAILFISH CIRCLE
SACRAMENTO CA 95828

Officer/Director/Trustee Two

SONIYA MASIH
SECRETARY
5433 ROCKWELL ROAD
SACRAMENTO CA 95660

Officer/Director/Trustee Three

AHILIA SINGH
CFO
8297 GLENDON WAY
SACRAMENTO CA 95829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 JOSEPHINE VERMA
Signature Title CEO
Signature Date 10/16/18

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