FORM 1023-EZ for BROWNSBURG BLESSING BOXES INC

Field Data
EIN 83-4074399
Case Number EO-2019084-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROWNSBURG BLESSING BOXES INC
Organization’s Mailing Address 187 SYCAMORE STREET
City BROWNSBURG
State IN
ZIP 46112
Accounting period End 12
Primary contact name DONNA J STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA J STOUT
PRESIDENT
187 SYCOMORE STREET
BROWNSBURG IN 46112

Officer/Director/Trustee Two

AMANDA WILLIAMS
SECRETARY
929 NEEDLE RIDGE LN
BROWNSBURG IN 46112

Officer/Director/Trustee Three

DONNA STOUT
TREASURER
187 SYCAMORE ST
BROWNSBURG IN 46112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 DONNA J STOUT
Signature Title PRESIDENT
Signature Date 3/21/19

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