FORM 1023-EZ for REVIVAL PRODUCTIONS INC

Field Data
EIN 82-2997982
Case Number EO-2017317-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REVIVAL PRODUCTIONS INC
Organization’s Mailing Address 106 COUNTRY RUN DR
City COATESVILLE
State PA
ZIP 19320
Accounting period End 12
Primary contact name HEATHER GRAYBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER GRAYBERG
PRESIDENT/ARTISTIC DIRECTOR
106 COUNTRY RUN DR
COATESVILLE PA 19320-3068

Officer/Director/Trustee Two

DARLENE JENNINGS
CHIEF FINANCIAL OFFICER
429 GRANT AVE
DOWNINGTOWN PA 19335-3013

Officer/Director/Trustee Three

KIMBERLY GRIGORIAN
SECRETARY
828 STIRLING ST
COATESVILLE PA 19320-3521

Officer/Director/Trustee Four

CAITLIN DUBOIS
DIRECTOR OF MARKETING
5200 HILLTOP DR RB7
BROOKHAVEN PA 19015-1204

Officer/Director/Trustee Five

ROBERT BARR
VP OF PRODUCTION
184 TURTLEPOINT LN
THORNDALE PA 19372-1164

Organization’s website
Organization’s email REVIVALPRODUCTIONSPA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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