FORM 1023-EZ for THE REVIVED SOUTHWIDE BAPTIST FELLOWSHIP INC

Field Data
EIN 45-2590234
Case Number EO-2018043-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REVIVED SOUTHWIDE BAPTIST FELLOWSHIP INC
Organization’s Mailing Address 261 S ORANGE AVENUE
City ORANGE CITY
State FL
ZIP 32763
Accounting period End 12
Primary contact name CHARLES PRESCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES PRESCOTT
TREASURER
7226 JACKSON MORGAN LANE
POWELL TN 37849

Officer/Director/Trustee Two

JOHN REYNOLDS
PRESIDENT
12 PINEHILL CT
COLBERT GA 30628

Officer/Director/Trustee Three

SHANE LEWIS
VICE PRESIDENT
PO BOX 162
SOMERVILLE AL 35670

Officer/Director/Trustee Four

KEVAN BARTLETT
SECRETARY
1 MARANATHA ACRES
CHARLESTON WV 25312

Officer/Director/Trustee Five

TIM CRUSE
BOARD MEMBER
2541 OLD CHARLOTTE HWY
MONROE NC 37849

Organization’s website WWW.SOUTHWIDEBAPTISTFELLOWSHIP.COM
Organization’s email PASTORVCBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/11
Organization Incorporation State FL
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: Yes
Educational: Yes
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 CHARLES PRESCOTT
Signature Title TREASURER
Signature Date 2/9/18

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