FORM 1023-EZ for THE REBEL INITIATIVE INC

Field Data
EIN 86-1420487
Case Number EO-2021076-000491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REBEL INITIATIVE INC
Organization’s Mailing Address 206 WATERGAP VILLAGE BOX 333
City DELAWARE WATER GAP
State PA
ZIP 18327
Accounting period End 12
Primary contact name BRANDON HANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAITLIN KAISER
DIRECTOR
784 SUNSET LANE
STROUDSBURG PA 18360

Officer/Director/Trustee Two

MOLLY POWERS-GALLAGHER
DIRECTOR
2515 BRUEN LANE
EASTON PA 18040

Officer/Director/Trustee Three

ELISABETH NICKELS
DIRECTOR
1541 REISH RD
STROUDSBURG PA 18360

Officer/Director/Trustee Four

BRANDON HANKS
DIRECTOR
206 WATER GAP VILLAGE BOX 333
DELAWARE WATER GAP PA 18327

Organization’s website N/A
Organization’s email THEREBELINITIATIVE5@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2021
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 BRANDON HANKS
Signature Title DIRECTOR
Signature Date 1/18/2021

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