FORM 1023-EZ for BROKEN NOSE THEATRE

Field Data
EIN 46-2186556
Case Number EO-2015239-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN NOSE THEATRE
Organization’s Mailing Address 5536 N WINTHROP AVE
City CHICAGO
State IL
ZIP 60640
Accounting period End 6
Primary contact name BENJAMIN BROWNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN BROWNSON
ARTISTIC DIRECTOR
5536 N WINTHROP AVE
CHICAGO IL 60660

Officer/Director/Trustee Two

ELISE SPOERLEIN
ASSOCIATE ARTISTIC DIRECTOR
3026 N HALSTED ST 1C
CHICAGO IL 60657

Officer/Director/Trustee Three

SPENSER DAVIS
DIRECTOR OF PROGRAMMING
3026 N HALSTED ST 1C
CHICAGO IL 60657

Officer/Director/Trustee Four

DAVID WEISS
COMPANY DRAMATURG
1916 W BYRON ST GARDEN APT
CHICAGO IL 60613-5178

Organization’s website WWW.BROKENNOSETHEATRE.COM
Organization’s email BROKENNOSETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2013
Organization Incorporation State IL
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: No
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 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
Signature Title
Signature Date

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