FORM 1023-EZ for MT LASSEN THEATRE

Field Data
EIN 47-1331859
Case Number EO-2014314-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT LASSEN THEATRE
Organization’s Mailing Address 200 MAIN STREET
City CHESTER
State CA
ZIP 96020-1266
Accounting period End 12
Primary contact name KERI REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD DUBORD
DIRECTOR
461 MELISSA DRIVE
CHESTER CA 96020-0562

Officer/Director/Trustee Two

KERI REED
TREASURER
255 WAGON ROAD
CHESTER CA 96020-1801

Officer/Director/Trustee Three

GWEN MEINHARDT
PROGRAM COORDINATOR
FIR STREET
WESTWOOD CA 96137

Organization’s website WWW.MTLASSENTHEATRE.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2014
Organization Incorporation State CA
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: 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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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