FORM 1023-EZ for SUSTAINABLE COMMUNITY THEATRE FOUNDATION

Field Data
EIN 82-1833220
Case Number EO-2020225-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSTAINABLE COMMUNITY THEATRE FOUNDATION
Organization’s Mailing Address 990 ADRIAN WAY
City SAN RAFAEL
State CA
ZIP 94903
Accounting period End 6
Primary contact name KARIN HERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARIN HERN
DIRECTOR
181 OAK DRIVE
SAN RAFAEL CA 94901

Officer/Director/Trustee Two

JEAN ZERRUDO
PRESIDENT
990 ADRIAN WAY
SAN RAFAEL CA 94903

Officer/Director/Trustee Three

DAVID SHANE
VICDE PRESIDENT
990 ADRIAN WAY
SAN RAFAEL CA 94903

Officer/Director/Trustee Four

BETHE JENSEN
SECRETARY
990 ADRIAN WAY
SAN RAFAEL CA 94903

Officer/Director/Trustee Five

KELA CABRALES
TREASURER
990 ADRIAN WAY
SAN RAFAEL CA 94903

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KARIN HERN
Signature Title DIRECTOR
Signature Date 8/10/2020
EIN 82-1833220
Case Number EO-2017208-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUSTAINABLE COMMUNITY THEATRE FOUNDATION
Organization’s Mailing Address 990 ADRIAN WAY
City SAN RAFAEL
State CA
ZIP 94903-3014
Accounting period End 12
Primary contact name MARIE JEAN ZERRUDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE JEAN ZERRUDO
PRESIDENT
990 ADRIAN WAY
SAN RAFAEL CA 94903-3014

Officer/Director/Trustee Two

KARIN HERN
VICE-PRESIDENT
990 ADRIAN WAY
SAN RAFAEL CA 94903-3014

Officer/Director/Trustee Three

ELIZABETHE JENSEN
SECRETARY
1099 ADRIAN WAY
SAN RAFAEL CA 94903-3014

Officer/Director/Trustee Four

KELA CABRALES
TREASURER
4 HILLVIEW AVE
SAN RAFAEL CA 94901-5226

Officer/Director/Trustee Five

DAVID SHANE
DIRECTOR
1000 DRAKES LANDING SUITE 200
GREENBRAE CA 94904-3027

Organization’s website
Organization’s email SUSTAINABLECTFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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