FORM 1023-EZ for CLOUDGATE THEATRE

Field Data
EIN 82-2587657
Case Number EO-2017256-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLOUDGATE THEATRE
Organization’s Mailing Address 1958 W BERWYN AVE
City CHICAGO
State IL
ZIP 60640-1041
Accounting period End 12
Primary contact name SHANE KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE KELLY
EXECUTIVE DIRECTOR
1958 W BERWYN AVE
CHICAGO IL 60640-1041

Officer/Director/Trustee Two

JOSPEH IDASZAK
BOARD PRESIDENT
30 E HURON AVE UNIT 1109
CHICAGO IL 60611-2787

Officer/Director/Trustee Three

KRISTIN BERNSTEIN
DIRECTOR
2041 W BERWYN AVE UNIT 3
CHICAGO IL 60625-1101

Officer/Director/Trustee Four

JAY OWEN EISENBERG
DIRECTOR
2412 1ST AVE S
MINNEAPOLIS MN 55404-3411

Organization’s website
Organization’s email CLOUDGATETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
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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