FORM 1023-EZ for INDEPENDENCE AREA COMMUNITY THEATERINC

Field Data
EIN 83-4472702
Case Number EO-2019161-000442
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDEPENDENCE AREA COMMUNITY THEATERINC
Organization’s Mailing Address 2349 JAMESTOWN AVE SUITE 4
City INDEPENDENCE
State IA
ZIP 50644
Accounting period End 12
Primary contact name GARY VAN WERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY VAN WERT
PRESIDENT
100 HILLSIDE DRIVE W
OELWEIN IA 50662

Officer/Director/Trustee Two

GLEN FULTS
VICE PRESIDENT
3068 OVERLAND AVENUE
ROWLEY IA 52329

Officer/Director/Trustee Three

KATHRYN MILLER
SECRETARY
2032 WAPSIE ACCESS BLVD
INDEPENDENCE IA 50644

Officer/Director/Trustee Four

ALAN BOWERS
TREASURER
622 4TH STREET SE
INDEPENDENCE IA 50644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: Yes
Religious: No
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 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 GARY VAN WERT
Signature Title PRESIDENT
Signature Date 6/7/19

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