FORM 1023-EZ for PAYSON COMMUNITY THEATER

Field Data
EIN 20-1208900
Case Number EO-2015194-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAYSON COMMUNITY THEATER
Organization’s Mailing Address PO BOX 384
City PAYSON
State UT
ZIP 84651-0384
Accounting period End 12
Primary contact name DAVID C DAHLQUIST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEEARL PECK
PRESIDENT OF BOARD OF TRUSTEES
546 E 300 S
SPANISH FORK UT 84660

Officer/Director/Trustee Two

PERRY EWELL
PRES ELECT OF BOARD OF TRUSTEES
412 N AMERIGO
ELK RIDGE UT 84651

Officer/Director/Trustee Three

DELCIA HILL
SECRETARY
PO BOX 182
PAYSON UT 84651

Officer/Director/Trustee Four

DAVID DAHLQUIST
BUSINESS MANAGER
PO BOX 381
PAYSON UT 84651-0381

Officer/Director/Trustee Five

BYRON MOOS
TRUSTEE
1056 E CANYON RD
SPANISH FORK UT 84660

Organization’s website WWW.PAYSONCOMMUNITYTHEATER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2001
Organization Incorporation State UT
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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