FORM 1023-EZ for ADVANCED ACTORS WORKSHOP

Field Data
EIN 47-5171852
Case Number EO-2015286-000054
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADVANCED ACTORS WORKSHOP
Organization’s Mailing Address 24881 ALICIA PKWY STE E 272
City LAGUNA HILLS
State TX
ZIP 92653
Accounting period End 12
Primary contact name ROBERT ADLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEIF SETTERGREN
PRESIDENT, DIRECTOR
19 CALYPSO ST
ALISO VIEJO CA 92656

Officer/Director/Trustee Two

DE ANNA BUSH
SECRETARY, DIRECTOR
PO BOX 813
TUSTIN CA 92781

Officer/Director/Trustee Three

ROBERT ADLER
TREASURER, DIRECTOR
25532 CHAMPLAIN RD
LAGUNA HILLS CA 92653

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2015
Organization Incorporation State CA
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 Yes
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 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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