FORM 1023-EZ for FISHTANK THEATRE INC

Field Data
EIN 82-1426173
Case Number EO-2017128-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FISHTANK THEATRE INC
Organization’s Mailing Address 1717 WYANDOTTE SUITE 203
City KANSAS CITY
State MO
ZIP 64108
Accounting period End 12
Primary contact name HEIDI VAN MIDDLESWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI VAN MIDDLESWORTH
PRESIDENT
4410 FAIRMOUNT AVE
KANSAS CITY MO 64111

Officer/Director/Trustee Two

PHILIP THIES
VICE-PRESDIDENT TREASURER
4410 FAIRMOUNT AVE
KANSAS CITY MO 64111

Officer/Director/Trustee Three

JEFF CHURCH
SECRETARY
419 WEST 63RD STREET
KANSAS CITY MO 64113

Organization’s website WWW.FISHTANKTHEATRE.COM
Organization’s email HEIDI@FISHTANKTHEATRE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State MO
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: 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 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 Yes
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
Signature Title
Signature Date

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