FORM 1023-EZ for BLACK MARKET THEATRE

Field Data
EIN 82-4506870
Case Number EO-2018208-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MARKET THEATRE
Organization’s Mailing Address PO BOX 6731
City LAKE CHARLES
State LA
ZIP 70606
Accounting period End 12
Primary contact name JESSICA LORMAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA LORMAND
PRESIDENT
5000 LEON DRIVE 15
LAKE CHARLES LA 70605

Officer/Director/Trustee Two

LARA CONNALLY
VICE PRESIDENT
1808 HODGES STREET
LAKE CHARLES LA 70601

Officer/Director/Trustee Three

TIMOTHY SMITH
TREASURER
5737 NOBIE LN
LAKE CHARLES LA 70607

Officer/Director/Trustee Four

CURRY BURTON
SECRETARY
4019 CAPPY DRIVE
LAKE CHARLES LA 70605

Organization’s website BLACKMARKETTHEATRE.COM
Organization’s email BLACKMARKETTHEATREGROUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/18
Organization Incorporation State LA
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: Yes
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 JESSICA LORMAND
Signature Title PRESIDENT
Signature Date 7/25/18

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