FORM 1023-EZ for EAST TEXAS REVIVE FEST

Field Data
EIN 82-2980912
Case Number EO-2018150-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAST TEXAS REVIVE FEST
Organization’s Mailing Address PO BOX 35
City MINEOLA
State TX
ZIP 75773-6614
Accounting period End 9
Primary contact name LEE MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE MARTIN
CHAIRMAN
1021 NORTH JOHNSON STREET
MINEOLA TX 75773-6614

Officer/Director/Trustee Two

KRISTIA CRUMP
TREASURER
303 COUNTY ROAD 2651
MINEOLA TX 75773-6614

Officer/Director/Trustee Three

CYNTHIA DUNSWORTH
SPONSOR COORDINATOR
1200 COUNTY ROAD 2210
MINEOLA TX 75773-6614

Officer/Director/Trustee Four

CLOVETTA MANLEY
SECRETARY
607 COUNTY ROAD 2400
MINEOLA TX 75773-6614

Officer/Director/Trustee Five

TERRY XENIAS
VENDOR COORDINATOR
1200 COUNTY ROAD 2210
MINEOLA TX 75773-6614

Organization’s website EASTTEXASREVIVEFEST.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/17
Organization Incorporation State TX
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CYNTHIA DUNSWORTH
Signature Title SPONSOR COORDINATOR
Signature Date 5/24/18

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