FORM 1023-EZ for MOD THEATRE COMPANY
| Field | Data |
|---|---|
| EIN | 47-4995969 |
| Case Number | EO-2016337-000404 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MOD THEATRE COMPANY |
| Organization’s Mailing Address | 825 W 180TH APT 5 |
| City | NYC |
| State | NY |
| ZIP | 10033 |
| Accounting period End | 12 |
| Primary contact name | ANDREA DAVELINE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDREA DAVELINE
MANAGING DIRECTOR
825 W 180TH STREET APT 5
NYC NY 10033
Officer/Director/Trustee Two
ADAM DAVELINE
ARTISTIC DIRECTOR
825 W 180TH STREET APT 5
NYC NY 10033
Officer/Director/Trustee Three
JEFF GONZALEZ
LITERARY MANAGER
141 W 111TH ST APT 4BE
NYC NY 10026
Officer/Director/Trustee Four
MAGARIN HOBSON
TECHNICAL DIRECTOR
12 DONGAN PL APT 12
NYC NY 10040
| Organization’s website | WWW.MODTHEATRE.ORG |
|---|---|
| Organization’s email | ANDREA@MODTHEATRE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/8/2015 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A60 - Performing Arts Organizations |
| 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 | 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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