FORM 1023-EZ for REVIVING NATIONS INC

Field Data
EIN 82-1976371
Case Number EO-2018282-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVING NATIONS INC
Organization’s Mailing Address 12890 S JOHN YOUNG PARKWAY
City ORLANDO
State FL
ZIP 32837
Accounting period End 12
Primary contact name PAMELA DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARDNER DANIEL
PRESIDENT
12890 S JOHN YOUNG PARKWAY
ORLANDO FL 32837

Officer/Director/Trustee Two

DALE SCHLAFER
VICE PRESIDENT/SECRETARY
615 RIVIERA DUNES WAY APT 308
PALMETTO FL 34221

Officer/Director/Trustee Three

JONATHAN MCGILL
TREASURER
12890 S JOHN YOUNG PARKWAY
ORLANDO FL 32837

Officer/Director/Trustee Four

JOHNNIE ANDERSON
DIRECTOR
5040 KEATON CREST DRIVE
ORLANDO FL 32837

Organization’s website REVIVINGNATIONS.ORG
Organization’s email INFO@REVIVINGNATIONS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/14
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: 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 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 GARDNER DANIEL
Signature Title PRESIDENT
Signature Date 10/6/18

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