FORM 1023-EZ for THE THEATRE MINE

Field Data
EIN 82-2456119
Case Number EO-2017240-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE THEATRE MINE
Organization’s Mailing Address PO BOX 411
City SILVERTON
State IN
ZIP 81433
Accounting period End 12
Primary contact name MATTHEW P VIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL SULLIVAN
PRESIDENT
1311 S CROWE AVE APT D
VISALIA CA 93277

Officer/Director/Trustee Two

CHARMAIN HOWINGTON
VICE PRESIDENT
2039 ABINGTON LN
SNELLVILLE GA 30078

Officer/Director/Trustee Three

JUDITH GRAHAM
TREASURER
PO BOX 383
SILVERTON CO 81433

Officer/Director/Trustee Four

MATTHEW VIRE
SECRETARY
2020 IDLEWOOD DR
INDIANAPOLIS IN 46240

Organization’s website WWW.THETHEATREMINE.COM
Organization’s email THETHEATREMINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2017
Organization Incorporation State CO
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
Signature Title
Signature Date

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