FORM 1023-EZ for REVIVAL PLAN ASSOCIATION

Field Data
EIN 85-0532358
Case Number EO-2020090-000369
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REVIVAL PLAN ASSOCIATION
Organization’s Mailing Address 20601 WEST PAOLI LANE
City WEIMAR
State CA
ZIP 95736
Accounting period End 12
Primary contact name DANNY KWON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARNOLD CONSTANTINESCU
PRESIDENT
20601
WEIMAR CA 95736

Officer/Director/Trustee Two

TATIANA PATRASCO
DIRECTOR
17412 159TH AVE SE
RENTON WA 98058

Officer/Director/Trustee Three

STEVEN BROWNELL
DIRECTOR
20601 WEST PAOLI LANE
WEIMAR CA 95736

Officer/Director/Trustee Four

KELLY COFFIN
DIRECTOR
509 SOUTH 22ND AVE
BOZEMAN MT 59718

Officer/Director/Trustee Five

TOM DUFFY
DIRECTOR
2 COBB HILL RD
BOZEMAN MT 59718

Organization’s website HTTPS://REVIVALPLAN.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 ARNOLD CONSTANTINESCU
Signature Title PRESIDENT
Signature Date 3/27/2020

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