FORM 1023-EZ for ACTORS REPERTORY THEATER OF NEVADA

Field Data
EIN 84-2129452
Case Number EO-2019198-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACTORS REPERTORY THEATER OF NEVADA
Organization’s Mailing Address 146 DOG LEG DR
City LAS VEGAS
State NV
ZIP 89148
Accounting period End 12
Primary contact name JOSE ALONZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE ALONZO
PRESIDENT
146 DOG LEG DR
LAS VEGAS NV 89148

Officer/Director/Trustee Two

ANGELA MATTHEWS
VICE PRESIDENT
9371 MOONSCAPE AVE
LAS VEGAS NV 89178

Officer/Director/Trustee Three

KARLYNE SELVA
SECRETARY
2725 E EVANS AVE
LAS VEGAS NV 89030

Officer/Director/Trustee Four

LEMAFOE MAHINA
TREASURER
4375 BOULDER HWY APT 101
LAS VEGAS NV 89121

Officer/Director/Trustee Five

SEAN ROSE
BOARD MEMBER
146 DOG LEG DR
LAS VEGAS NV 89148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/19
Organization Incorporation State NV
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSE ALONZO
Signature Title PRESIDENT
Signature Date 7/15/19

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