FORM 1023-EZ for THE PLAYGROUND THEATRE INC

Field Data
EIN 47-1626207
Case Number EO-2014239-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PLAYGROUND THEATRE INC
Organization’s Mailing Address 4252 BELLEMEADE DRIVE
City BELLBROOK
State OH
ZIP 45305-1405
Accounting period End 12
Primary contact name CHRISTOPHER ALLEN HAHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER ALLEN HAHN
DIRECTOR AND PRESIDENT/CEO
4252 BELLEMEADE DRIVE
BELLBROOK OH 45305-1405

Officer/Director/Trustee Two

JENNA VALYN BURNETTE
DIRECTOR AND VICE PRESIDENT
4252 BELLEMEADE DRIVE
BELLBROOK OH 45305-1405

Officer/Director/Trustee Three

AMY ELIZABETH ASKINS
TREASURER/CFO
1335 RIDGEWAY DRIVE
OAKWOOD OH 45419-3005

Officer/Director/Trustee Four

TIMOTHY BRIAN WALLING-MOORE
SECRETARY AND DIRECTOR
7637 SHADY WATER LANE
CENTERVILLE OH 45459-3686

Officer/Director/Trustee Five

JASON ANTONICK
DIRECTOR
35 S JUNE STREET
DAYTON OH 45403

Organization’s website WWW.THEPLAYGROUNDTHEATRE.ORG
Organization’s email PLAYGROUNDTHEATRECO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2014
Organization Incorporation State OH
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: No
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
Signature Title
Signature Date

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