FORM 1023-EZ for THE PARKER PLAYHOUSE

Field Data
EIN 81-1047144
Case Number EO-2016013-000506
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PARKER PLAYHOUSE
Organization’s Mailing Address 117 E NORTHWEST HWY STE C
City BARRINGTON
State IL
ZIP 60010
Accounting period End 12
Primary contact name NANCIE KOZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NANCIE KOZEL
PRESIDENT
117 E NORTHWEST HWY STE B
BARRINGTON IL 60010

Officer/Director/Trustee Two

DAVID TOBISON
SECRETARY
42425 N OLYMPIC FIELDS CT
ANTHEM AZ 85086

Officer/Director/Trustee Three

ELLEN WERKSMAN
DIRECTOR
616 SOUTH ST
BARRINGTON IL 60010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A61 - Performing Arts Centers
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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