FORM 1023-EZ for MIRRORBOX THEATRE

Field Data
EIN 84-3956514
Case Number EO-2019350-000427
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRRORBOX THEATRE
Organization’s Mailing Address 201 3RD AVE SW
City CEDAR RAPIDS
State IA
ZIP 52404
Accounting period End 12
Primary contact name CAVAN HALLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAVAN HALLMAN
PRESIDENT
201 3RD AVE SW
CEDAR RAPIDS IA 52404-5716

Officer/Director/Trustee Two

KAITLIN BYERS
DIRECTOR
415 12TH AVE SE
CEDAR RAPIDS IA 52401-2449

Officer/Director/Trustee Three

JOANNA JORDAN
DIRECTOR
1311 BURCH AVE NW
CEDAR RAPIDS IA 52405-4835

Officer/Director/Trustee Four

BRIAN KIPP
DIRECTOR
600 3RD ST SE - 204
CEDAR RAPIDS IA 52401-2005

Officer/Director/Trustee Five

CHRISTOPHER OKIISHI
DIRECTOR
320 W CHERRY ST
NORTH LIBERTY IA 52317-8819

Organization’s website WWW.MIRRORBOXTHEATRE.COM
Organization’s email MIRRORBOXTHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 CAVAN HALLMAN
Signature Title PRESIDENT
Signature Date 12/13/2019

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