FORM 1023-EZ for REVITALIZE MENA INC
| Field | Data |
|---|---|
| EIN | 87-1799841 |
| Case Number | EO-2021211-000192 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REVITALIZE MENA INC |
| Organization’s Mailing Address | 242 OTTER LANE |
| City | HATFIELD |
| State | AR |
| ZIP | 71945 |
| Accounting period End | 12 |
| Primary contact name | ADAM HEROD CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RICK CHRISMAN
OFFICER
242 OTTER LANE
HATFIELD AR 71945
Officer/Director/Trustee Two
JOHN VACCA
OFFICER
511 9TH STREET
MENA AR 71953
Officer/Director/Trustee Three
PASHA WATSON
OFFICER
131 LITTLE WOODS LANE
MENA AR 71953
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/2021 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S30 - Economic Development |
| 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 | RICK CHRISMAN |
| Signature Title | OFFICER |
| Signature Date | 7/28/2021 |
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