FORM 1023-EZ for PURE LIFE THEATRE COMPANY

Field Data
EIN 85-3148336
Case Number EO-2020269-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURE LIFE THEATRE COMPANY
Organization’s Mailing Address 3801 HILLSBOROUGH STREET SUITE 113
City RALEIGH
State NC
ZIP 27607
Accounting period End 6
Primary contact name DEB ROYALS MIZERK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONZEL BELL
BOARD CHAIR
29 GUNTER COURT
HAMPTON VA 23666

Officer/Director/Trustee Two

BARBETTE HUNTER
CO CHAIR
PO BOX 40662
RALEIGH NC 27629

Officer/Director/Trustee Three

CONNIE MCCOY LEACH
TREASURER
1229 BERWICK VALLEY LANE
CARY NC 27513

Officer/Director/Trustee Four

BOBBY SHERARD
DIRECTOR
5004 MILLER DRIVE
DURHAM NC 27704

Officer/Director/Trustee Five

DEB ROYALS
DIRECTOR
205 DUNSTABLE COURT
RALEIGH NC 27614

Organization’s website WWW.PURELIFETHEATRE.COM
Organization’s email PURELIFETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State NC
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEB ROYALS
Signature Title DIRECTOR
Signature Date 9/23/2020

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