FORM 1023-EZ for CLAY WATTLES THEATER COMPANY

Field Data
EIN 47-1756286
Case Number EO-2015247-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLAY WATTLES THEATER COMPANY
Organization’s Mailing Address 20 GATE POST LANE
City SOUTHBURY
State CT
ZIP 06488
Accounting period End 12
Primary contact name SALLY CAMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLY CAMM
PRESIDENT
20 GATE POST LANE
SOUTHBURY CT 06488

Officer/Director/Trustee Two

JOSEPH STOFKO
VICE PRESIDENT
297 LINCOLN STREET
WATERBURY CT 06710

Officer/Director/Trustee Three

THOMAS CAMM
TREASURER
20 GATE POST LANE
SOUTHBURY CT 06488

Officer/Director/Trustee Four

KATIE KEOUGH
SECRETARY
1367 HANOVER
MERIDAN CT 06451

Officer/Director/Trustee Five

JAMES FREY
BOARD MEMBER
17 WALKER ROAD
WOODBURY CT 06798

Organization’s website WWW.THEGARYTHEOLIVIA.COM
Organization’s email INFO@THEGARYTHEOLIVIA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2014
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 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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