FORM 1023-EZ for JAX THEATRE

Field Data
EIN 47-4349155
Case Number EO-2015205-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAX THEATRE
Organization’s Mailing Address 510 COBURN DRIVE
City MCDERMOTT
State OH
ZIP 45652-8806
Accounting period End 12
Primary contact name JORDAN NICKLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARRIE FORD
SECRETARY
1630 6TH STREET
PORTSMOUTH OH 45662-4440

Officer/Director/Trustee Two

KRISTIN NICKLES
TREASURER
2400 EDGEWOOD DRIVE
PORTSMOUTH OH 45662-3230

Officer/Director/Trustee Three

AMANDA GILMORE
DIRECTOR
1102 WILDEMIRE AVE
WHEELERSBURG OH 45694-9468

Officer/Director/Trustee Four

JORDAN NICKLES
PRESIDENT
510 COBURN DRIVE
MCDERMOTT OH 45652-8806

Officer/Director/Trustee Five

JEROD WALKER
DIRECTOR
19 WHITE GRAVEL DEWEY ROAD
MINFORD OH 45653-8739

Organization’s website WWW.FACEBOOK.COM/JAXTHEATRE
Organization’s email JAXTHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2014
Organization Incorporation State OH
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: No
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
Signature Title
Signature Date

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