FORM 1023-EZ for SALEM THEATRE NETWORK

Field Data
EIN 81-1844579
Case Number EO-2016104-000054
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALEM THEATRE NETWORK
Organization’s Mailing Address 145 LIBERTY ST NE STE 102
City SALEM
State OR
ZIP 97301
Accounting period End 12
Primary contact name JAY GIPSON-KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAY GIPSON-KING
PRESIDENT
1605 20TH ST NE
SALEM OR 97301

Officer/Director/Trustee Two

VINCENZO MEDURI
VICE-PRESIDENT
187 HIGH ST NE STE 300
SALEM OR 97301

Officer/Director/Trustee Three

ANDREW TONEY
SECRETARY
WU 900 STATE ST NE
SALEM OR 97301

Officer/Director/Trustee Four

PAULA SHINE
TREASURER
748 ROOSEVELT ST NW
SALEM OR 97304

Organization’s website HTTPS://WWW.FACEBOOK.COM/SALEMTHEATRENETWORK/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
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 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 Yes
Signature Name
Signature Title
Signature Date

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