FORM 1023-EZ for BEDROCK THEATRE

Field Data
EIN 83-2106398
Case Number EO-2021092-000970
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEDROCK THEATRE
Organization’s Mailing Address 1112 NW 15TH ST APT B207
City GRESHAM
State OR
ZIP 97030
Accounting period End 12
Primary contact name EMILY EISELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMILY EISELE
BOARD PRESIDENT
1628 N ROCKWELL ST APT 1
CHICAGO IL 60647

Officer/Director/Trustee Two

JOELLEN SWEENEY
SECRETARY
1112 NW 15TH ST APT B207
GRESHAM OR 97030

Officer/Director/Trustee Three

SEAN GROSSHANS
BOARD MEMBER
1628 N ROCKWELL ST APT 1
CHICAGO IL 60647

Organization’s website HTTPS://WWW.BEDROCKTHEATRE.COM/
Organization’s email BEDROCKTHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2019
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: Yes
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 Yes
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 EMILY EISELE
Signature Title BOARD PRESIDENT
Signature Date 3/1/2021

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