FORM 1023-EZ for THEATRE ON A MISSION

Field Data
EIN 47-2815775
Case Number EO-2015069-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THEATRE ON A MISSION
Organization’s Mailing Address 11517 BEACON DR
City JACKSONVILLE
State FL
ZIP 32225
Accounting period End 12
Primary contact name SHELLEY CAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLEY CAIN
PRESIDENT
11517 BEACON DR
JACKSONVILE FL 32225

Officer/Director/Trustee Two

CHELSEY CAIN
VICE PRESIDENT
11517 BEACON DR
JACKSONVILE FL 32225

Officer/Director/Trustee Three

DANIELLE GLENN
SECRETARY
2190 MONUMENT RD APT 205
JACKSONVILLE FL 32225

Officer/Director/Trustee Four

SPENCER YEOMAN
TREASURE
5536
JACKSONVILLE FL 32225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 Yes
Conducting Activities Outside of United States Yes
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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