FORM 1023-EZ for FROM MY JEWELRY BOX

Field Data
EIN 81-3634750
Case Number EO-2017124-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FROM MY JEWELRY BOX
Organization’s Mailing Address 7900 NW GRUBSTAKE WAY
City REDMOND
State OR
ZIP 97756-8964
Accounting period End 12
Primary contact name CONSTANCE HENSLEY-JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONSTANCE HENSLEY-JONES
PRESIDENT
7900 NW GRUBSTAKE WAY
REDMOND OR 97756

Officer/Director/Trustee Two

ALLISON HARRIS
SECRETARY
301 SE SPRINGER COURT
BEND OR 97702

Officer/Director/Trustee Three

NATASHA JONES
TREASURER
2749 HASTINGS AVENUE
REDWOOD CITY CA 94061

Organization’s website FROMMYJEWELRYBOX.ORG
Organization’s email CONNIE@FROMMYJEWELRYBOX.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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
Signature Title
Signature Date

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