FORM 1023-EZ for BLACK ICE THEATRE CO

Field Data
EIN 84-4113255
Case Number EO-2020006-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK ICE THEATRE CO
Organization’s Mailing Address 701 MICHAEL DRIVE
City SOUTH LAKE TAHOE
State CA
ZIP 96150-6237
Accounting period End 12
Primary contact name RICHARD SARGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD SARGENT
BOARD PRESIDENT
701 MICHAEL DRIVE
SOUTH LAKE TAHOE CA 96150-6237

Officer/Director/Trustee Two

ELLEN MARTIN
BOARD SECRETARY
PO BOX 19062
SOUTH LAKE TAHOE CA 96151

Officer/Director/Trustee Three

TOM CALLAHAN
BOARD VP
810 JULIE LANE
SOUTH LAKE TAHOE CA 96150

Officer/Director/Trustee Four

BRIANA BILLER
BOARD TREASURER
1177 ARAVAIPA
SOUTH LAKE TAHOE CA 96150

Organization’s website BLACKICETHEATRECO.COM
Organization’s email INFO@BLACKICETHEATRECO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD SARGENT
Signature Title BOARD PRESIDENT
Signature Date 1/2/2020

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