FORM 1023-EZ for MALEK THEATRE FOUNDATION

Field Data
EIN 84-4608492
Case Number EO-2020141-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MALEK THEATRE FOUNDATION
Organization’s Mailing Address 809 6TH AVE NE
City INDEPENDENCE
State IA
ZIP 50644-1423
Accounting period End 12
Primary contact name ANTHONY FITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY FITZ
PRESIDENT/CHAIRMAN
809 6TH AVE NE
INDEPENDENCE IA 50644-1423

Officer/Director/Trustee Two

BARBARA PAULL
SECRETARY
501 5TH AVE SW
INDEPENDENCE IA 50644-2555

Officer/Director/Trustee Three

DAN FLAUCHER
TREASURER
1310 8TH AVE NE
INDEPENDENCE IA 50644-1007

Officer/Director/Trustee Four

DUSTIN DALLENBACH
DIRECTOR
413 2ND AVE NE
INDEPENDENCE IA 50644-1804

Officer/Director/Trustee Five

KAREN CONNELL
DIRECTOR
312 2ND AVE SW
INDEPENDENCE IA 50644-0506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2020
Organization Incorporation State IA
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 ANTHONY FITZ
Signature Title PRESIDENT/CHAIRMAN
Signature Date 5/17/2020

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