FORM 1023-EZ for CHEQUAMEGON THEATRE ASSOCIATION

Field Data
EIN 23-7450712
Case Number EO-2016176-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEQUAMEGON THEATRE ASSOCIATION
Organization’s Mailing Address PO BOX 225
City ASHLAND
State WI
ZIP 54806
Accounting period End 12
Primary contact name SHARON CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEB ELLEFSON
PRESIDEN
66412 BAYFRONT RD
ASHLAND WI 54806

Officer/Director/Trustee Two

VAL LEVNO
VICE PRESIDENT
1218 9TH AVE W
ASHLAND WI 54806

Officer/Director/Trustee Three

MARY JO HOLZHAEUSER
SECRETARY
504 11TH ST W
ASHLAND WI 54806

Officer/Director/Trustee Four

SHARON CAMPBELL
TREASURER
1524 11TH AVE W
ASHLAND WI 54806

Officer/Director/Trustee Five

DAG BYSTROM
MEMBER
208 15TH AVE E
ASHLAND WI 54806

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/1979
Organization Incorporation State WI
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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