FORM 1023-EZ for THE SHOEBOX THEATRE

Field Data
EIN 87-2262962
Case Number EO-2021272-000015
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHOEBOX THEATRE
Organization’s Mailing Address 2834 NE 50TH AVE
City PORTLAND
State OR
ZIP 97213-2532
Accounting period End 12
Primary contact name TED ROONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TED ROONEY
PRESIDENT
2834 NE 50TH AVE
PORTLAND OR 97213-2532

Officer/Director/Trustee Two

BROOKE TOTMAN
SECRETARY
6832 N PITTSBURG AVE
PORTLAND OR 97203-5324

Officer/Director/Trustee Three

DARRELL WADE
VICE PRESIDENT
4920 N HUDSON
PORTLAND OR 97203-3458

Organization’s website SHOEBOXTHEATRE.COM
Organization’s email TWROONEY@PACBELL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 8/20/2021
Organization Incorporation State OR
Contains Limitation No
Does not expressly empower No
Contains dissolution No
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 Yes
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 No
Signature Name TED ROONEY
Signature Title PRESIDENT
Signature Date 9/25/2021

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