FORM 1023-EZ for MEDALLION OPERA HOUSE

Field Data
EIN 83-3166873
Case Number EO-2019037-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDALLION OPERA HOUSE
Organization’s Mailing Address 20 PARK ST
City GORHAM
State NH
ZIP 3581
Accounting period End 1
Primary contact name DENISE VALLEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDE PIGEON
BOARDMEMEBERM
113 PERSHING AVE
BERLIN NH 3570

Officer/Director/Trustee Two

DENISE VALLEE
ADMINISTRATOR
37 MAIN ST
GORHAM NH 3581

Officer/Director/Trustee Three

ED GIBSON
BOARDMEMEMBER
20 JEWEL ST
GORHAM NH 3581

Officer/Director/Trustee Four

MARK SANTOS
BOARDMEMEBER
643 DURAND RD
RANDOLPH NH 3593

Officer/Director/Trustee Five

BEN MURPHY
CHAIR
8 WATER ST
GORHAM NH 3581

Organization’s website WWW.GORHAMNEWHAMPSHIRE.COM/MEDALLION_OPERA_HOUSE
Organization’s email MEDALLIONOPERAHOUSE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/11
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLAUDE PIGEON
Signature Title BOARDMEMEBERM
Signature Date 2/1/19

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