FORM 1023-EZ for AUMSVILLE COMMUNITY THEATRE

Field Data
EIN 45-2070080
Case Number EO-2016182-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUMSVILLE COMMUNITY THEATRE
Organization’s Mailing Address 151 W LOCUS STREET
City STAYTON
State OR
ZIP 97383
Accounting period End 6
Primary contact name BEVERLY WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON REMPEL
PRESIDENT
1415 24TH ST
SALEM OR 97301

Officer/Director/Trustee Two

COLLEEN ROGERS
VICE PRESIDENT
6858 SHERMAN RD
AUMSVILLE OR 97325

Officer/Director/Trustee Three

LINDA CASHIN
SECRETARY
1625 COURT ST
SALEM OR 97301

Officer/Director/Trustee Four

EDWARD STINER
TREASURER
4652 WESTLAWN CT
SALEM OR 97317

Officer/Director/Trustee Five

BEVERLY WILSON
BOARD MEMBER
760 REES HIL RD
SALEM OR 97306

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2011
Organization Incorporation State OR
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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