FORM 1023-EZ for PLACER REPERTORY THEATER

Field Data
EIN 85-1079883
Case Number EO-2020142-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLACER REPERTORY THEATER
Organization’s Mailing Address 2351 SUNSET BLVD - SUITE 170-209
City ROCKLIN
State CA
ZIP 95765-4306
Accounting period End 12
Primary contact name TERESA STIRLING FORSYTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA FORSYTH
PRESIDENT
2351 SUNSET BLVD - SUITE 170-209
ROCKLIN CA 95765-4306

Officer/Director/Trustee Two

TWIANA ARMSTRONG-BRYANT
VICE PRESIDENT
2351 SUNSET BLVD - SUITE 170-209
ROCKLIN CA 95765-4306

Officer/Director/Trustee Three

RODGER MCDONALD
TREASURER
2351 SUNSET BLVD - SUITE 170-209
ROCKLIN CA 95765-4306

Officer/Director/Trustee Four

ANNE MERINO
SECRETARY
2351 SUNSET BLVD - SUITE 170-209
ROCKLIN CA 95765-4306

Officer/Director/Trustee Five

KATHHRYN CARNER
DIRECTOR
2351 SUNSET BLVD - SUITE 170-209
ROCKLIN CA 95765-4306

Organization’s website WWW.PLACERREP.ORG
Organization’s email BOARD@PLACERREP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 TERESA FORSYTH
Signature Title PRESIDENT
Signature Date 5/19/2020

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