FORM 1023-EZ for ACTIVELY REVIVING COMMUNITIES

Field Data
EIN 82-2235131
Case Number EO-2017235-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTIVELY REVIVING COMMUNITIES
Organization’s Mailing Address 2925 ABERDEEN DR
City SEAGOVILLE
State TX
ZIP 75159
Accounting period End 12
Primary contact name SAMETRIUS RUBEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMETRIUS RUBEN
PRESIDENT/DIRECTOR
2925 ABERDEEN DR
SEAGOVILLE TX 75159

Officer/Director/Trustee Two

ANDREW RUBEN
VICE PRESIDENT/DIRECTOR
2925 ABERDEEN DR
SEAGOVILLE TX 75159

Officer/Director/Trustee Three

TIARA JONES
SECRETARY/DIRECTOR
125 S MURDEAUX LN 234
DALLAS TX 75217

Officer/Director/Trustee Four

CARLA ANDERSON
TREASURER/PRESIDENT
1602 CEDARBROOK DR
MESQUITE TX 75181

Officer/Director/Trustee Five

LASHONDA HARRIS
DIRECTOR
2925 ABERDEEN DR
SEAGOVILLE TX 75159

Organization’s website N/A
Organization’s email SAMETRIUS.RUBEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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