FORM 1023-EZ for NEWBURGH COMMUNITY THEATER LIMITED

Field Data
EIN 81-0882515
Case Number EO-2016021-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEWBURGH COMMUNITY THEATER LIMITED
Organization’s Mailing Address 6500 BLUE SPRUCE DRIVE
City NEWBURGH
State IN
ZIP 47630
Accounting period End 12
Primary contact name MATTHEW MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER ZILIAK
PRESIDENT
4763 PENROSE DRIVE
NEWBURGH IN 47630

Officer/Director/Trustee Two

MICHAEL DEICKEN
BOARD MEMBER
5367 OAKWOOD DRIVE
NEWBURGH IN 47630

Officer/Director/Trustee Three

MARGARET DENNIS
SECRETARY
6500 BLUE SPRUCE DRIVE
NEWBURGH IN 47630

Officer/Director/Trustee Four

JED HUTSON
BOARD MEMBER - ATTORNEY
316 ADAMS
NEWBURGH IN 47630

Officer/Director/Trustee Five

MATTHEW MASON
TREASURER-CPA
8166 ROBERTS RIDGE
NEWBURGH IN 47630

Organization’s website NA
Organization’s email MSMASON1@EAGLES.USI.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State IN
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: 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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