FORM 1023-EZ for INJOY REVIVAL

Field Data
EIN 85-3482402
Case Number EO-2020300-000584
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INJOY REVIVAL
Organization’s Mailing Address 5242 PHILLORET DRIVE
City CINCINNATI
State OH
ZIP 45239-7631
Accounting period End 12
Primary contact name JESSICA WATANABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WENDELL ANDERSON JR
TRUSTEE
5424 PHILLORET DRIVE
CINCINNATI OH 45239-7631

Officer/Director/Trustee Two

ADRIA MAPLES
TRUSTEE
8198 WOOSTER PIKE APARTMENT A
CINCINNATI OH 45227-4065

Officer/Director/Trustee Three

WHITNEY MCNEIL
TRUSTEE
6262 BENNEVILLE STREET
CINCINNATI OH 45230-1901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 WENDELL ANDERSON JR
Signature Title TRUSTEE
Signature Date 10/23/2020

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