FORM 1023-EZ for BASIN COMMUNITY THEATRE

Field Data
EIN 45-3482921
Case Number EO-2017004-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BASIN COMMUNITY THEATRE
Organization’s Mailing Address PO BOX 413
City MOSES LAKE
State WA
ZIP 98837-0413
Accounting period End 12
Primary contact name SUSANNE ALTMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOBY BLACK
PRESIDENT
5598 RD 3 NE
MOSES LAKE WA 98837

Officer/Director/Trustee Two

MARION WYMAN
VICE PRESIDENT
340 S MESQUITE CT
MOSES LAKE WA 98837

Officer/Director/Trustee Three

DEBBIE TOEBER
SECRETARY
2069 S BELAIR DR
MOSES LAKE WA 98837

Officer/Director/Trustee Four

LLOYD STEVER
TREASURER
532 S BATTERY RD
MOSES LAKE WA 98837

Organization’s website
Organization’s email BCTHETRE11@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2011
Organization Incorporation State WA
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: No
Scientific: No
Literary: Yes
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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