FORM 1023-EZ for THEATRE DIASPORA

Field Data
EIN 84-4010225
Case Number EO-2020076-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEATRE DIASPORA
Organization’s Mailing Address 3535 N BORTHWICK AVE
City PORTLAND
State OR
ZIP 97227-1216
Accounting period End 12
Primary contact name SAMSON SYHARATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE MING TIEN DUFFLY
PRESIDENT
7126 SE 13TH AVE
PORTLAND OR 97202-5857

Officer/Director/Trustee Two

ALEX HASLETT
SECRETARY/TREASURER
1250 E BURNSIDE ST APT 116
PORTLAND OR 97214-2267

Officer/Director/Trustee Three

FRANCISCO GARCIA
VICE PRESIDENT
4027 NE 76TH AVE
PORTLAND OR 97213-6429

Officer/Director/Trustee Four

SAMSON SYHARATH
ARTISTIC DIRECTOR
3535 N BORTHWICK AVE
PORTLAND OR 97227-1216

Organization’s website WWW.THEATREDIASPORA.ORG
Organization’s email THEATREDIASPORA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2019
Organization Incorporation State OR
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: 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 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 SAMSON SYHARATH
Signature Title ARTISTIC DIRECTOR
Signature Date 3/13/2020

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