FORM 1023-EZ for WASHINGTON COUNTY PLAY TO STAGE

Field Data
EIN 86-1542102
Case Number EO-2021078-001115
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WASHINGTON COUNTY PLAY TO STAGE
Organization’s Mailing Address 2775 SE 73RD AVE
City HILLSBORO
State OR
ZIP 97123
Accounting period End 12
Primary contact name ROBERT DODGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT DODGE
PRESIDENT
2775 SE 73RD AVE
HILLSBORO OR 97123

Officer/Director/Trustee Two

CHRISTOPHER GABEL
SECRETARY
2059 NE JAMIE DR
HILLSBORO OR 97124

Officer/Director/Trustee Three

REGINA BLEVINS
BOARD MEMBER
19968 SW DOMA LANE NUMBER 46
ALOHA OR 97003

Officer/Director/Trustee Four

JASON WEED
BOARD MEMBER
1365 SE DUKE DR
HILLSBORO OR 97123

Officer/Director/Trustee Five

WILLIAM CRAWFORD
BOARD MEMBER
3234 SE SPRUCE ST
HILLSBORO OR 97123

Organization’s website n/a
Organization’s email r.s.dodge@comcast.net
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 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 ROBERT DODGE
Signature Title PRESIDENT
Signature Date 1/22/2021

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