FORM 1023-EZ for AEON LIFE THEATRE CORP

Field Data
EIN 82-4757825
Case Number EO-2018141-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AEON LIFE THEATRE CORP
Organization’s Mailing Address 10201 EXPLORER COURT
City TAMPA
State FL
ZIP 33615
Accounting period End 12
Primary contact name TAMMY MODICA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY MODICA
DIRECTOR
10201 EXPLORER COURT
TAMPA FL 33615

Officer/Director/Trustee Two

PAMELA STAMEY
OFFICER
4525 OAK RIVER CIRCLE
VALRICO FL 33596

Officer/Director/Trustee Three

JOSEPH CANESSA
OFFICER
7410 FOREST MERE DRIVE
RIVERVIEW FL 33578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/18
Organization Incorporation State FL
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMMY MODICA
Signature Title DIRECTOR
Signature Date 5/17/18

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