FORM 1023-EZ for KNOX LABS INC

Field Data
EIN 81-3885853
Case Number EO-2016285-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOX LABS INC
Organization’s Mailing Address 1 PUBLIC SQUARE
City MOUNT VERNON
State OH
ZIP 43050
Accounting period End 12
Primary contact name MARK FURMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK FURMAN
PRESIDENT
401 EAST HIGH STREET
MOUNT VERNON OH 43050

Officer/Director/Trustee Two

NATHAN THOMAS
SECRETARY
18991 LOVE ROAD
FREDERICKTOWN OH 43019

Officer/Director/Trustee Three

RYAN BAILEY
TREASURER
314 WOOSTER ROAD
MOUNT VERNON OH 43050

Organization’s website KNOXLABS.ORG
Organization’s email MFURMAN@KNOXLABS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 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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