FORM 1023-EZ for REV FOUNDATION

Field Data
EIN 87-2284793
Case Number EO-2021245-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REV FOUNDATION
Organization’s Mailing Address 1114 BROADWAY ST
City PADUCAH
State KY
ZIP 42001-1885
Accounting period End 12
Primary contact name DANIEL VERBIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALLIE VERBIST
PRESIDENT
2046 CLARK LINE RD
PADUCAH KY 42003

Officer/Director/Trustee Two

DANIEL VERBIST
EXECUTIVE DIRECTOR
2046 CLARK LINE RD
PADUCAH KY 42003

Officer/Director/Trustee Three

RYAN CONN
TREASURER
1114 BROADWAY ST
PADUCAH KY 42001

Officer/Director/Trustee Four

JULIE BODNARCHUK
SECRETARY
1114 BROADWAY
PADUCAH KY 42001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RYAN CONN
Signature Title TREASURER
Signature Date 8/31/2021

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