FORM 1023-EZ for MID SOUTH THEATER FOUNDATION INC

Field Data
EIN 83-4612662
Case Number EO-2019143-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID SOUTH THEATER FOUNDATION INC
Organization’s Mailing Address 3024 WHITNEY AVENUE
City MEMPHIS
State TN
ZIP 38128
Accounting period End 12
Primary contact name STEVEN BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN BROWN
CHAIRMAN
3024 WHITNEY AVENUE
MEMPHIS TN 38128

Officer/Director/Trustee Two

OTTO CARNES III
TREASURER
1315 VICTOR DRIVE
MEMPHIS TN 38122

Officer/Director/Trustee Three

CHARMEN JEFFREY
SECRETARY
1754 NELLIE ROAD
MEMPHIS TN 38116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 STEVEN BROWN
Signature Title CHAIRMAN
Signature Date 5/21/19

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