FORM 1023-EZ for ARTIST CONNECTION THEATRE INC

Field Data
EIN 82-1125602
Case Number EO-2017132-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARTIST CONNECTION THEATRE INC
Organization’s Mailing Address 3907 ARROW POINT TRAIL WEST
City JACKSONVILLE
State FL
ZIP 32277
Accounting period End 12
Primary contact name LORI NEWTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI NEWTON
PRESIDENT
3907 ARROW POINT TRAIL WEST
JACKSONVILLE FL 32277

Officer/Director/Trustee Two

YVONNE OTWELL
SECRETARY
10399 FORD ROAD
BRYCEVILLE FL 32209

Officer/Director/Trustee Three

PAULETTE GUTIERREZ
TREASURER
6210 COLUMBINE DRIVE
JACKSONVILLE FL 32211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2017
Organization Incorporation State FL
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 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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