FORM 1023-EZ for BREAK A LEG THEATER WORKS INC

Field Data
EIN 82-4983048
Case Number EO-2018106-001003
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAK A LEG THEATER WORKS INC
Organization’s Mailing Address 13 OLDE STAGE STOP VILLAGE
City MARSHFIELD
State MA
ZIP 2050
Accounting period End 12
Primary contact name HEALY SAMMIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE WRENTZ
PRESIDENT, DIRECTOR
101 W 140TH ST NUMBER 17
NEW YORK NY 10030

Officer/Director/Trustee Two

HEALY SAMMIS
TREASURER, DIRECTOR
13 OLDE STAGE STOP VILLAGE
MARSHFIELD MA 2050

Officer/Director/Trustee Three

DREW FORD
CLERK, DIRECTOR
42C TROUT FARM LANE
DUXBURY MA 2332

Organization’s website WWW.BREAKALEGTHEATER.COM
Organization’s email INFO@BREAKALEGTHEATER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 Yes
Donation of funds Yes
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 HEALY SAMMIS
Signature Title TREASURER, DIRECTOR
Signature Date 4/12/18

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