FORM 1023-EZ for DISTRACTION THEATRE COMPANY

Field Data
EIN 81-5241002
Case Number EO-2017052-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRACTION THEATRE COMPANY
Organization’s Mailing Address PO BOX 68483
City NASHVILLE
State TN
ZIP 37206-8483
Accounting period End 12
Primary contact name AMBER BUKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL BOUDREAUX
BOARD PRESIDENT
11815 AINSWORTH AVE SOUTH
TACOMA WA 98444-2435

Officer/Director/Trustee Two

ROBYN SAUNDERS
BOARD SECRETARY
3401 ANDERSON RD UNIT 123
ANTIOCH TN 37013-6002

Officer/Director/Trustee Three

MARY MOONEY
DIRECTOR
612 JOYCE LANE
NASHVILLE TN 37216-1105

Officer/Director/Trustee Four

MICHAEL MCCLURKIN
DIRECTOR
611 AZURE HILLS
VAN BUREN AR 72956-2105

Officer/Director/Trustee Five

MARK HOWER
DIRECTOR
810 PETWAY AVE
NASHVILLE TN 37206-3404

Organization’s website HTTP://DISTRACTIONTHEATRE.ORG/
Organization’s email DISTRACTIONTHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2016
Organization Incorporation State TN
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 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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