FORM 1023-EZ for GRIOT THEATER COMPANY

Field Data
EIN 85-3506544
Case Number EO-2021036-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRIOT THEATER COMPANY
Organization’s Mailing Address 153 DONAHUE STREET - 34
City MARIN CITY
State CA
ZIP 94965
Accounting period End 7
Primary contact name MAURICE ANTON TOBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VESTER WIGGINS
PRESIDENT/DIRECTOR
2257 MENALTO AVE
E PALO ALTO CA 94303

Officer/Director/Trustee Two

MIZUHO SHIOMI
SECRETARY/DIRECTOR
153 DONAHUE STREET - 34
MARIN CITY CA 94965

Officer/Director/Trustee Three

MAURICE TOBIN
TREASURER/CO-SECRETARY/DIRECTOR
520 VAN BUREN AVE APT 111
OAKLAND CA 94610

Officer/Director/Trustee Four

PAUL AUSTIN
MEMBER
PO BOX 530
SAUSALITO CA 94610

Officer/Director/Trustee Five

EBONY JOHNSON
MEMBER
2000 E 30TH ST - 32
OAKLAND CA 94606

Organization’s website WWW.GRIOTTHEATERCOMPANY.ORG
Organization’s email LESHAWNHOLCOMB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Donation of funds Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VESTER WIGGINS
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/18/2020

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