FORM 1023-EZ for THE REVIVE MOVEMENT INC

Field Data
EIN 84-3419721
Case Number EO-2021104-001106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REVIVE MOVEMENT INC
Organization’s Mailing Address 100 GATEWAY PARKWAY
City MARBLE FALLS
State TX
ZIP 78654
Accounting period End 12
Primary contact name MARK MCCARY OF MCCARY & MCCARY PC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM THORNTON
DIRECTOR 1
28710 RANCH ROAD 12
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Two

BRANDON SHOOK
DIRECTOR 2
234 SHETLAND ROAD
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Three

MATTHEW PENNINGTON
DIRECTOR 3
215 SOUTH FAIR STREET
GONZALES TX 78629

Officer/Director/Trustee Four

RUSTY FREEMAN
EXECUTIVE DIRECTOR
100 GATEWAY PARKWAY
MARBLE FALLS TX 78654

Officer/Director/Trustee Five

LANE FREEMAN
SECRETARY/REGISTERED AGENT
PO BOX 275
MARBLE FALLS TX 78654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LANE FREEMAN
Signature Title SECRETARY/REGISTERED AGENT
Signature Date 6/26/2020

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