FORM 1023-EZ for LAVERKIN COMMUNITY THEATER

Field Data
EIN 36-4867733
Case Number EO-2017163-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAVERKIN COMMUNITY THEATER
Organization’s Mailing Address 6232 WEST 135 NORTH APT 42
City HURRICANE
State UT
ZIP 84737-6117
Accounting period End 12
Primary contact name JULIE CRANDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE CRANDALL
VICE PRESIDENT/REGISTERED AGENT
6232 WEST 135 NORTH APT 42
HURRICANE UT 84737-6117

Officer/Director/Trustee Two

CHRISTINA WEBB
PRESIDENT/FOUNDER
310 WEST 400 NORTH
LAVERKIN UT 84745-5231

Officer/Director/Trustee Three

JERILYN CHURCHILL
SECRETARY
864 NORTH 495 WEST
LAVERKIN UT 84745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: No
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 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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