FORM 1023-EZ for HOLTON COMMUNITY THEATRE ASSOCIATION

Field Data
EIN 82-2963613
Case Number EO-2017307-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLTON COMMUNITY THEATRE ASSOCIATION
Organization’s Mailing Address 23531 V ROAD
City HOLTON
State KS
ZIP 66436
Accounting period End 12
Primary contact name JENNIFER SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SHAW
TREASURER
23531 V ROAD
HOLTON KS 66436

Officer/Director/Trustee Two

SHANNON WITTMER
PRESIDENT
12821 OAK RIDGE DRIVE
HOLTON KS 66436

Officer/Director/Trustee Three

CHRIS HEINEKEN
VICE PRESIDENT
19642 X ROAD
DENISON KS 66419

Officer/Director/Trustee Four

ANNIE BROCK
SECRETARY
12488 266TH ROAD
HOLTON KS 66436

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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