FORM 1023-EZ for KROSSROADS PLAYHOUSE INC

Field Data
EIN 84-3914313
Case Number EO-2020049-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KROSSROADS PLAYHOUSE INC
Organization’s Mailing Address 107 A CLIFTON STREET
City KERNERSVILLE
State NC
ZIP 27284-2719
Accounting period End 12
Primary contact name KATIE JO ICENHOWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT ICENHOWER
CHAIRMAN
107 A CLIFTON STREET
KERNERSVILLE NC 27284-2719

Officer/Director/Trustee Two

KATIE JO ICENHOWER
BOARD MEMBER
107 A CLIFTON STREET
KERNERSVILLE NC 27284-2719

Officer/Director/Trustee Three

DEBBIE SHOFFNER
SECRETARY
1703 BROOKCLIFF DRIVE
GREENSBORO NC 27408-2504

Officer/Director/Trustee Four

CHRISTIAN SCHROEDER
TREASURER
6275 SELWYCK LANE
KERNERSVILLE NC 27284-9393

Officer/Director/Trustee Five

KELLY HARGETT
VICE-CHAIRMAN
5925 KENTON DRIVE
KERNERSVILLE NC 27284-8353

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A61 - Performing Arts Centers
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 KATIE JO ICENHOWER
Signature Title BOARD MEMBER
Signature Date 2/13/2020

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