FORM 1023-EZ for MALLARD CREEK REPERTORY THEATRE BOOSTERS

Field Data
EIN 84-3701633
Case Number EO-2019343-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALLARD CREEK REPERTORY THEATRE BOOSTERS
Organization’s Mailing Address 3825 JOHNSTON OEHLER RD
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 6
Primary contact name SCOTT D ALEXANDER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE TACY
PRESIDENT
3214 GRANDEUR RD
CHARLOTTE NC 28269

Officer/Director/Trustee Two

MONIQUE DEDEAUX
VICE-PRESIDENT
10942 LOUDOUN LN
CHARLOTTE NC 28262

Officer/Director/Trustee Three

ELIZABETH KILLEN
TREASURER
6245 SKYLINE DRIVE
CHARLOTTE NC 28269

Officer/Director/Trustee Four

BETH SMITH
SECRETARY
4003 BEAUVISTA DRIVE
CHARLOTTE NC 28269

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 JULIE TACY
Signature Title PRESIDENT
Signature Date 12/5/2019

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