FORM 1023-EZ for REVISION YOUTH

Field Data
EIN 83-1820692
Case Number EO-2018255-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVISION YOUTH
Organization’s Mailing Address 653 OAK RUN TRAIL SUITE 107
City OAK PARK
State CA
ZIP 91377-5624
Accounting period End 12
Primary contact name SAMANTHA KINKAID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA KINKAID
FOUNDER AND DIRECTOR
653 OAK RUN TRAIL SUITE 107
OAK PARK CA 91377-5624

Organization’s website REVISIONYOUTH.ORG
Organization’s email CONTACT@REVISIONYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 SAMANTHA KINKAID
Signature Title FOUNDER AND DIRECTOR
Signature Date 9/10/18

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