FORM 1023-EZ for RYE REVIVAL INC

Field Data
EIN 86-2309268
Case Number EO-2021097-001044
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RYE REVIVAL INC
Organization’s Mailing Address W8709 SAWMILL ROAD
City BLANCHARDVILLE
State WI
ZIP 53516
Accounting period End 12
Primary contact name JESSICA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RITA HINDIN
PRESIDENT AND DIRECTOR
W8709 SAWMILL ROAD
BLANCHARDVILLE WI 53516

Officer/Director/Trustee Two

AVERY ROBINSON
SECRETARY AND DIRECTOR
26460 WOODLORE ROAD
FRANKLIN MI 48025

Officer/Director/Trustee Three

SANDY SYBURG
TREASURER AND DIRECTOR
W360 N8515 BROWN STREET
OCONOMOWOC WI 53066

Officer/Director/Trustee Four

GARY ZIMMER
DIRECTOR
8964 RED BERYL DRIVE
MIDDLETON WI 53562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2021
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
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 RITA HINDIN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 3/16/2021

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