FORM 1023-EZ for EMPTYBOX

Field Data
EIN 87-2300325
Case Number EO-2021266-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPTYBOX
Organization’s Mailing Address 16606 48TH AVE W B104
City LYNNWOOD
State WA
ZIP 98037
Accounting period End 12
Primary contact name LILLIAN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LILLIAN TAYLOR-BLACKMON
EXECUTIVE DIRECTOR
16606 48TH AVE W B104
LYNNWOOD WA 98037

Officer/Director/Trustee Two

SEBASTIAN ATAR
DIRECTOR
4051 171ST AVENUE SE
BELLEVUE WA 98008

Officer/Director/Trustee Three

MEL SMITH
DIRECTOR
25206 N 42ND DRIVE
PHOENIX AZ 85083

Organization’s website WWW.EMPTYBOX.GLOBAL
Organization’s email LILLIAN@EMPTYBOX.GLOBAL
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C27 - Recycling Programs
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 LILLIAN TAYLOR-BLACKMON
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/21/2021

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