FORM 1023-EZ for REVIVAL IN GALILEE

Field Data
EIN 87-1992883
Case Number EO-2021217-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL IN GALILEE
Organization’s Mailing Address 11907 S MEMORIAL DR SUITE B
City BIXBY
State OK
ZIP 74008
Accounting period End 7
Primary contact name DEREK VENABLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK VENABLE
CHAIRMAN
11907 S MEMORIAL DR SUITE B
BIXBY OK 74008

Officer/Director/Trustee Two

JENNIFER VENABLE
TRUSTEE
11907 S MEMORIAL DR SUITE B
BIXBY OK 74008

Officer/Director/Trustee Three

SPEERO SHEETY
TRUSTEE
11907 S MEMORIAL DR SUITE B
BIXBY OK 74008

Officer/Director/Trustee Four

RYAN SMART
TRUSTEE
7761 E 24TH ST
TULSA OK 74129

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
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 Yes
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 DEREK VENABLE
Signature Title CHAIRMAN
Signature Date 8/3/2021

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