FORM 1023-EZ for BOTTLES FOR BENEFIT INC

Field Data
EIN 83-2338432
Case Number EO-2019039-000948
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOTTLES FOR BENEFIT INC
Organization’s Mailing Address 420 17TH STREET NE
City SALEM
State OR
ZIP 97301
Accounting period End 9
Primary contact name JARED BAUMGARTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED BAUMGARTNER
PRESIDENT AND EXECUTIVE BOARD DIREC
420 17TH STREET NE
SALEM OR 97301

Officer/Director/Trustee Two

NATHAN SHERFEY
VICE PRESIDENT AND BOARD MEMBER
420 17TH STREET NE
SALEM OR 97301

Officer/Director/Trustee Three

MATT BILLINGSLEY
BOARD MEMBER
811 HARRITT DR NW APT 322
SALEM OR 97304

Officer/Director/Trustee Four

RACHEL BENN
CHIEF EDITOR
500 STATE STREET H175
SALEM OR 97301

Officer/Director/Trustee Five

SHELBY STROUT
SOCIAL MEDIA COORDINATOR
1015 18TH ST NE
SALEM OR 97301

Organization’s website BOTTLESFORBENEFIT.COM
Organization’s email BOTTLESFORBENEFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C27 - Recycling Programs
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 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 JARED BAUMGARTNER
Signature Title PRESIDENT AND EXECUTIVE BOARD DIREC
Signature Date 2/6/19

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