FORM 1023-EZ for REVIVE & HELP MINISTRIES INC

Field Data
EIN 81-4759697
Case Number EO-2019273-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVE & HELP MINISTRIES INC
Organization’s Mailing Address 118 EAST WELLESLEY AVENUE
City SPOKANE
State WA
ZIP 99207
Accounting period End 12
Primary contact name TERRANCE NIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE NIXON
DIRECTOR
6608 NORTH STEVENS ST
SPOKANE WA 99208

Officer/Director/Trustee Two

SOPHIA NIXON
SECETARY
6608 NORTH STEVENS ST
SPOKANE WA 99208

Organization’s website
Organization’s email REVIVEMINISTRIESM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERRANCE NIXON
Signature Title DIRECTOR
Signature Date 9/27/19
EIN 81-4759697
Case Number EO-2017156-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVIVE HELP MINISTRIES
Organization’s Mailing Address 6608 NORTH STEVENS ST
City SPOKANE
State WA
ZIP 99208
Accounting period End 12
Primary contact name TERRANCE NIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE NIXON
CHIEF OPERATING OFFICER
6608 NORTH STEVENS ST
SPOKANE WA 99208

Officer/Director/Trustee Two

SOPHIA NIXON
ASST. DIRECTOR OPERATIONS
6608 NORTH STEVENS ST
SPOKANE WA 99208

Organization’s website N/A
Organization’s email REVIVEMINISTRIESM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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