FORM 1023-EZ for REVIVAL CENTER UNITED APPEAL FUND INC

Field Data
EIN 81-4205353
Case Number EO-2016337-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVIVAL CENTER UNITED APPEAL FUND INC
Organization’s Mailing Address PO BOX 270
City VINCENT
State AL
ZIP 35178
Accounting period End 12
Primary contact name HANNAH LANSDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH JASON ALLUMS
PRESIDENT
30 CARR DRIVE
VINCENT AL 35178

Officer/Director/Trustee Two

DANIEL MIMS
VICE PRESIDENT
115 FRIENDSHIP LANE
CHILDERSBURG AL 35044

Officer/Director/Trustee Three

JESSE TUCKER
SECRETARY / TREASURER
961 COLEMAN BRIDGE ROAD
CHILDERSBURG AL 35044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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