FORM 1023-EZ for REVIVALIST MINISTRIES

Field Data
EIN 83-3875374
Case Number EO-2019092-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVALIST MINISTRIES
Organization’s Mailing Address 844 GEORGIA CLIFF ROAD
City TRYON
State NC
ZIP 28782-5602
Accounting period End 12
Primary contact name CHARLES NELSON PAINTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES NELSON PAINTER
DIRECTOR
844 GEORGIA CLIFF ROAD
TRYON NC 28782-5602

Officer/Director/Trustee Two

DOUGLAS NOLT
OFFICER
12634 SPENCERVILLE ROAD
HARLAN IN 46743-7498

Officer/Director/Trustee Three

GRETA PAINTER
OFFICER
844 GEORGIA CLIFF ROAD
TRYON NC 28782-5602

Organization’s website
Organization’s email REVIVALISTMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
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 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 CHARLES NELSON PAINTER
Signature Title DIRECTOR
Signature Date 3/29/19

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