FORM 1023-EZ for COALESCENCE THEATRE INC

Field Data
EIN 87-0929926
Case Number EO-2021168-000346
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COALESCENCE THEATRE INC
Organization’s Mailing Address 9511 GRANDVILLE PLACE
City BLOOMINGTON
State IL
ZIP 61705
Accounting period End 12
Primary contact name DON SHANDROW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD SHANDROW
PRESIDENT
9511 GRANDVILLE PLACE
BLOOMINGTON IL 61705

Officer/Director/Trustee Two

TABITHA MILLER
SECRETARY - TREASURER
9511 GRANDVILLE PLACE
BLOOMINGTON IL 61705

Officer/Director/Trustee Three

GEORGE JACKSON III
VICE PRESIDENT
9511 GRANDVILLE PLACE
BLOOMINGTON IL 61705

Officer/Director/Trustee Four

KATHARYN BROWN
DIRECTOR
9511 GRANDVILLE PLACE
BLOOMINGTON IL 61705

Officer/Director/Trustee Five

ELAINE HILL
DIRECTOR
9511 GRANDVILLE PLACE
BLOOMINGTON IL 61705

Organization’s website WWW.COALESCENCETHEATRE.ORG
Organization’s email COALESCENCETHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State IL
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: Yes
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 DONALD SHANDROW
Signature Title PRESIDENT
Signature Date 6/15/2021

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