FORM 1023-EZ for BELLARINE THEATRE COMPANY

Field Data
EIN 27-4615062
Case Number EO-2014251-000492
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLARINE THEATRE COMPANY
Organization’s Mailing Address 223 SEAMAN LANE
City WEST CREEK
State NJ
ZIP 08092-9710
Accounting period End 12
Primary contact name JESSICA EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA EVANS
DIRECTOR, PRESIDENT
223 SEAMAN LANE
WEST CREEK NJ 08092-9710

Officer/Director/Trustee Two

CHRISTOPHER HUCH
VICE PRESIDENT
142 CLAY STREET
TUCKERTON NJ 08087-2612

Officer/Director/Trustee Three

SANDRA EVANS
TREASURER
223 SEAMAN LANE
WEST CREEK NJ 08092-9710

Officer/Director/Trustee Four

CHARLES EVANS
SECRETARY
223 SEAMAN LANE
WEST CREEK NJ 08092-9710

Organization’s website WWW.BELLARINETHEATRE.COM
Organization’s email BELLARINETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2011
Organization Incorporation State NJ
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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