FORM 1023-EZ for REVIVE WORLDWIDE INC
| Field | Data |
|---|---|
| EIN | 84-2590944 |
| Case Number | EO-2019346-000236 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REVIVE WORLDWIDE INC |
| Organization’s Mailing Address | 1718 N SCENIC HWY |
| City | BABSON PARK |
| State | FL |
| ZIP | 33827 |
| Accounting period End | 12 |
| Primary contact name | LORA DONLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORA DONLEY
DIR
1718 N SCENIC HWY
BABSON PARK FL 33827-9728
Officer/Director/Trustee Two
ELLEN POWELL
DIR
6445 WINDSOR TRACE DRIVE
PEACHTREE CORNERS GA 30092
Officer/Director/Trustee Three
BRENT DOLAN
DIR
930 NW CARLON AVE UNIT 4
BEND OR 97703
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/11/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Q11 - 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 | LORA DONLEY |
| Signature Title | DIR |
| Signature Date | 12/10/2019 |
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