FORM 1023-EZ for REVOLUTION 61 INC

Field Data
EIN 46-3188994
Case Number EO-2016326-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVOLUTION 61 INC
Organization’s Mailing Address 14015 TAYLOR CIRCLE
City OMAHA
State NE
ZIP 68164
Accounting period End 12
Primary contact name LEAH BOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEAH BOSS
PRESIDENT/TREASURE
14015 TAYLOR CIRCLE
OMAHA NE 68164

Officer/Director/Trustee Two

SHANE BOSS
VICE PRESIDENT
14015 TAYLOR CIRCLE
OMAHA NE 68164

Officer/Director/Trustee Three

CHRIS STEVENSON
SECERATRY
7512 SOUTH 88TH ST
LAVISTA NE 68128

Officer/Director/Trustee Four

JOANI ELEDGE
DIRECTOR
8806 LAKE ST
OMAHA NE 68134

Officer/Director/Trustee Five

STEPHANIE OLSON
DIRECTOR
6505 NORTH 159TH AVE CIRCLE
OMAHA NE 68116

Organization’s website
Organization’s email R61.DIRECTOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2013
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 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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