FORM 1023-EZ for COMMUNITY CHILDRENS THEATRE

Field Data
EIN 37-1150921
Case Number EO-2017240-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CHILDRENS THEATRE
Organization’s Mailing Address 8800 N INDUSTRIAL RD
City PEORIA
State IL
ZIP 61615
Accounting period End 12
Primary contact name DAWN KOCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE MCMILLION
PRESIDENT
2304 W ORLANDO CT
PEORIA IL 61614

Officer/Director/Trustee Two

KIM SKIBINSKI
PRESIDENT ELECT
6915 N ST MARYS RD
PEORIA IL 61614

Officer/Director/Trustee Three

WILLIS BARBER
SECRETARY
3426 W GRIMSON AVE
PEORIA IL 61615

Officer/Director/Trustee Four

DAWN KOCHER
TREASURER
5202 W FIELDSTONE DRIVE
PEORIA IL 61615

Officer/Director/Trustee Five

SUE BLASCO
DIRECTOR
1917 W BEL AIRE AVE
PEORIA IL 61614

Organization’s website WWW.CCTPEORIA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1980
Organization Incorporation State IL
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: 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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