FORM 1023-EZ for COUNTRYSIDE COMMUNITY THEATRE INC

Field Data
EIN 42-1197933
Case Number EO-2019274-000193
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COUNTRYSIDE COMMUNITY THEATRE INC
Organization’s Mailing Address 25139 252ND AVENUE
City PRINCETON
State IA
ZIP 52768
Accounting period End 9
Primary contact name ANTHONY B DEXTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY DEXTER
PRESIDENT
25139 252
PRINCETON IA 52768

Officer/Director/Trustee Three

LONNIE BEHNKE
TREASURER
608 WEST VALLEY DRIVE
ELDRIDGE IA 52748

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/82
Organization Incorporation State IA
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ANTHONY DEXTER
Signature Title PRESIDENT
Signature Date 9/27/19

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