FORM 1023-EZ for THE BOX PROGRAM

Field Data
EIN 82-4989907
Case Number EO-2019238-000552
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BOX PROGRAM
Organization’s Mailing Address 6304 DECKER DRIVE 507
City BAYTOWN
State TX
ZIP 77520
Accounting period End 8
Primary contact name JERONE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERONE HILL
TRUSTEE
6304 DECKER DRIVE 507
BAYTOWN TX 77520

Officer/Director/Trustee Two

ZENAIDA HILL
TRUSTEE
6304 DECKER DRIVE 507
BAYTOWN TX 77520

Officer/Director/Trustee Three

TIFFANY GRISSUM
TRUSTEE
1400 S NAVAJO AVENUE
PARKER AZ 85344

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 JERONE HILL
Signature Title TRUSTEE
Signature Date 8/23/19

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