| Field | Data |
|---|---|
| EIN | 47-3489745 |
| Case Number | EO-2015110-000294 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | REVIVEUS |
| Organization’s Mailing Address | 2122 SE 105TH AVE |
| City | PORTLAND |
| State | OR |
| ZIP | 97216 |
| Accounting period End | 12 |
| Primary contact name | RONDA MERKLIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
VAEA PASI
PRESIDENT
637 WEST POWELL
GRESHAM OR 97030
RONDA MERKLIN
TREASURER
2122 SE 105TH AVE
PORTLAND OR 97216
PINATI PASI
CHAIR
1460 SE 12TH ST
GRESHAM OR 97080
RICK ST CLAIR
VICE PRESIDENT
4340 SE 22ND DRVE
GRESHAM OR 97080
BECKY ST CLAIR
SECRETARY
4340 SE 22ND DRIVE
GRESHAM OR 97080
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/24/2015 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X21 - Protestant |
| Organization’s purpose | Charitable: Yes 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 | 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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