FORM 1023-EZ for FULL CIRCLE THEATER COMPANY

Field Data
EIN 47-1830217
Case Number EO-2014358-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FULL CIRCLE THEATER COMPANY
Organization’s Mailing Address 5436 CLINTON AVE S
City MINNEAPOLIS
State MN
ZIP 55419-1430
Accounting period End 6
Primary contact name RICK SHIOMI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY ANDERSON
PRESIDENT OF CORPORATION
11878 GERMAINE TERRACE
EDEN PRAIRIE MN 55347-5278

Officer/Director/Trustee Two

MARTHA JOHNSON
VICE PRESIDENT OF CORPORATION
5436 CLINTON AVE S
MINNEAPOLIS MN 55419-1430

Officer/Director/Trustee Three

ROSS PETERSON
TREASURER OF CORPORATION
16140 LAKESIDE AVE SE
PRIOT LAKE MN 55372-2465

Officer/Director/Trustee Four

MICHAEL KATZ
SECRETARY OF THE CORPORATION
2426 PILLSBURY AVE S
MINNEAPOLIS MN 55404-3220

Officer/Director/Trustee Five

RICKEY SHIOMI
DIRECTOR ON BOARD OF CORPORATION
5436 CLINTON AVE S
MINNEAPOLIS MN 55419-1430

Organization’s website N/A
Organization’s email FULLCIRCLETHEATERMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State MN
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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