FORM 1023-EZ for GRAND LAKE THEATRIX COMMUNITY THEATRE ASSOCIATION

Field Data
EIN 26-1116061
Case Number EO-2021085-001063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAND LAKE THEATRIX COMMUNITY THEATRE ASSOCIATION
Organization’s Mailing Address 406 OLIVER STREET
City ST MARYS
State OH
ZIP 45885-2738
Accounting period End 12
Primary contact name VICKIE SHURELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKIE SHURELDS
DIRECTOR
406 OLIVER STREET
ST MARYS OH 45805-2738

Officer/Director/Trustee Two

THOMAS SMITH
VICE PRESIDENT
236 DEFIANCE STREET
ST MARYS OH 45885-1619

Officer/Director/Trustee Three

DERRY GLENN
CHAIRMAN
528 S BAXTER STREET
LIMA OH 45805-4614

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2006
Organization Incorporation State OH
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name VICKIE SHURELDS
Signature Title DIRECTOR
Signature Date 2/5/2021

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