FORM 1023-EZ for MENDED WING THEATRE COMPANY

Field Data
EIN 84-3001663
Case Number EO-2020006-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDED WING THEATRE COMPANY
Organization’s Mailing Address 546 BACK RD
City OCRACOKE
State NC
ZIP 27960
Accounting period End 12
Primary contact name SEAVOR ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAVOR ROACH
EXECUTIVE DIRECTOR
60 TV TOWER LN
MITCHELL IN 47446

Officer/Director/Trustee Two

ROBERT EMMET TEMPLE
ARTISTIC DIRECTOR
546 BACK RD
OCRACOKE NC 27960

Organization’s website WWW.MENDEDWINGTHEATRE.COM
Organization’s email MENDEDWINGTHEATRE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2019
Organization Incorporation State NC
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 SEAVOR ROACH
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/2/2020

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