FORM 1023-EZ for REVIVAL HOUSE OF GOD MINISTRIES INC

Field Data
EIN 81-4489391
Case Number EO-2016337-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVIVAL HOUSE OF GOD MINISTRIES INC
Organization’s Mailing Address 265 CANAL STREET SUITE 503
City NEW YORK
State NY
ZIP 10013
Accounting period End 9
Primary contact name KWAI FONG KONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KWAI KONG
DIRECTOR
17 WOODHOLLOW ROAD
WEST WINDSOR NJ 08850

Officer/Director/Trustee Two

WAH SAN LEM
TREASURER
PO BOX 664
PRINCETON JUNCTION NJ 08850

Officer/Director/Trustee Three

JOSEPH LEM
SECRETARY
PO BOX 664
PRINCETON JUNCTION NJ 08550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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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