FORM 1023-EZ for BILLO BOX

Field Data
EIN 82-4803569
Case Number EO-2018169-000535
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BILLO BOX
Organization’s Mailing Address 9701 SE JOHNSON CREEK BLVD - K205
City HAPPY VALLEY
State OR
ZIP 97086
Accounting period End 12
Primary contact name DAVID E ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA LEE MATHIAS
PRESIDENT
9701 SE JOHNSON CREEK BLVD K205
HAPPY VALLEY OR 97086

Officer/Director/Trustee Two

CYNTHIA ADRIAN
SECRETARY
4227 W HOUSELAND COURT
EAGLE ID 83616

Officer/Director/Trustee Three

HAILEY MATHIAS
DIRECTOR
9701 SE JOHNSON CREEK BLVD K205
HAPPY VALLEY OR 97086

Officer/Director/Trustee Four

RHONDA VAUGHT
DIRECTOR
3739 N MELROSE DRIVE
PORTLAND OR 97227

Officer/Director/Trustee Five

KERI STANTON
DIRECTOR
2907 S LADERA PLACE
BOISE ID 83705

Organization’s website WWW.BILLOBOX.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 LAURA LEE MATHIAS
Signature Title PRESIDENT
Signature Date 6/14/18

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