FORM 1023-EZ for JONESBOROUGH REPERTORY THEATRE

Field Data
EIN 31-1483377
Case Number EO-2014288-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JONESBOROUGH REPERTORY THEATRE
Organization’s Mailing Address 125-1/2 WEST MAIN STREET
City JONESBOROUGH
State TN
ZIP 37659-1345
Accounting period End 12
Primary contact name JENNIFER SCHMIDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLEY BOLT
PRESIDENT
703 MARLBORO DRIVE
JOHNSON CITY TN 37601-2432

Officer/Director/Trustee Two

JOE FLORENCE
SECRETARY
122 EAST WOODROW AVE
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Three

JANETTE GAINES
TREASURER
2 HIGH MEADOW COURT
JONESBOROUGH TN 37659-7438

Officer/Director/Trustee Four

TERRY COUNTERMINE
DIRECTOR
101 EAST COLLEGE STREET
JONESBOROUGH TN 37659-1345

Officer/Director/Trustee Five

SHARON SQUIBB
TN
311 SOUTH CHEROKEE STREET
JONESBOROUGH TN 37659-1345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/1996
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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