FORM 1023-EZ for BROOKRIDGE ENTERTAINMENT

Field Data
EIN 37-1859306
Case Number EO-2018018-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKRIDGE ENTERTAINMENT
Organization’s Mailing Address 7300 BROOKRIDGE CENTRAL BLVD
City BROOKSVILLE
State FL
ZIP 34613
Accounting period End 12
Primary contact name RICHARD THERIAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD THERIAULT
PRESIDENT
8181 WEATHERFORD AVE
BROOKSVILE FL 34613

Officer/Director/Trustee Two

RUTH BARRETT
TREASURE
8401 WEATHERFORD AVE
BROOKSVILLE FL 34613

Officer/Director/Trustee Three

JACKIE SHERMAN
SEC
9277 DENMARSH STREET
BROOKSVILLE FL 34613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/17
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 Yes
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 No
Correctness Declaration Yes
Signature Name RICHARD THERIAULT
Signature Title PRESIDENT
Signature Date 1/16/18

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