FORM 1023-EZ for SUPPORTERS OF EVERGREEN THEATRE

Field Data
EIN 81-3743018
Case Number EO-2016251-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPPORTERS OF EVERGREEN THEATRE
Organization’s Mailing Address 31428 SOARING EAGLE DRIVE
City EVERGREEN
State CO
ZIP 80439
Accounting period End 6
Primary contact name KELLY A BREUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY COX
DIRECTOR
32623 MEADOW MOUNTAIN LANE
EVERGREEN CO 80439

Officer/Director/Trustee Two

JENNIFER MALAS
DIRECTOR
31428 SOARING EAGLE
EVERGREEN CO 80439

Officer/Director/Trustee Three

SCOTT OGLE
DIRECTOR
29300 BUFFALO PARK ROAD
EVERGREEN CO 80439

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State CO
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 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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