FORM 1023-EZ for REVIBE OUTDOORS
| Field | Data |
|---|---|
| EIN | 83-3354068 |
| Case Number | EO-2019137-000272 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REVIBE OUTDOORS |
| Organization’s Mailing Address | 908 PARK AVENUE |
| City | LOCK HAVEN |
| State | PA |
| ZIP | 17745 |
| Accounting period End | 12 |
| Primary contact name | TANIA LEZAK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TANIA LEZAK
PRESIDENT
513 WAVERLY ST
WAVERLY NY 14892
Officer/Director/Trustee Two
CRAIG FLEMING
VICE-PRESIDENT
908 PARK AVENUE
LOCK HAVEN PA 17745
Officer/Director/Trustee Three
DEBBIE MORAN
SECRETARY
118 W WATER ST
MUNCY PA 17756
Officer/Director/Trustee Four
JOHN SHAFFER
TREASURER
278 SHAFFER LN
JERSEY SHORE PA 17740
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/19 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N99 - Recreation, Sports, Leisure, Athletics N.E.C. |
| 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 | 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TANIA LEZAK |
| Signature Title | PRESIDENT |
| Signature Date | 5/15/19 |
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