FORM 1023-EZ for EMBOLD INC
| Field | Data |
|---|---|
| EIN | 82-1586718 |
| Case Number | EO-2019038-001028 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EMBOLD INC |
| Organization’s Mailing Address | 242 JOELYNN DR |
| City | SHELBY |
| State | OH |
| ZIP | 44875-8627 |
| Accounting period End | 12 |
| Primary contact name | ROB MUSICK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBY MUSICK
PRESIDENT / CEO
242 JOELYNN DR
SHELBY OH 44875-8627
Officer/Director/Trustee Two
ANNETTE MUSICK
DIRECTOR
242 JOELYNN DR
SHELBY OH 44875-8627
Officer/Director/Trustee Three
RACHEL MUSICK
DIRECTOR
242 JOELYNN DR
SHELBY OH 44875-8627
Officer/Director/Trustee Four
ELIZABETH MERRINGER
DIRECTOR
1520 GRAYLOCK ST
LANCASTER OH 43130-2124
| Organization’s website | WWW.EMBOLD.ORG |
|---|---|
| Organization’s email | RMUSICK@EMBOLD.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/3/17 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| Organization’s purpose | Charitable: No 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 | ROBY MUSICK |
| Signature Title | PRESIDENT / CEO |
| Signature Date | 1/26/19 |
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