FORM 1023-EZ for ANDROMEDA COMMUNITY THEATRE

Field Data
EIN 47-4942565
Case Number EO-2015257-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDROMEDA COMMUNITY THEATRE
Organization’s Mailing Address PO BOX 222
City CHARLOTTE
State MI
ZIP 48813-0222
Accounting period End 12
Primary contact name HEATHER HIPKISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER HIPKISS
PRESIDENT
6632 GRANGER HIGHWAY
MULLIKEN MI 48861-9742

Officer/Director/Trustee Two

KALLI DEMPSEY
TRUSTEE
2389 ISLAND HIGHWAY
CHARLOTTE MI 48813-9304

Officer/Director/Trustee Three

DOUGLAS HOY
TRUSTEE
756 W SEMINARY
CHARLOTTE MI 48813-1320

Officer/Director/Trustee Four

FRANK BOSTON
SECRETARY TREASURER
722 ST MARYS BLVD
CHARLOTTE MI 48813-2214

Officer/Director/Trustee Five

ANDREW HIPKISS
VICE PRESIDENT
6632 GRANGER HIGHWAY
MULLIKEN MI 48861-9742

Organization’s website WWW.ANDROMEDAPLAYERS.ORG
Organization’s email INFO@ANDROMEDAPLAYERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State MI
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: 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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