FORM 1023-EZ for BLK BOX PHX
| Field | Data |
|---|---|
| EIN | 83-0853514 |
| Case Number | EO-2018183-000414 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLK BOX PHX |
| Organization’s Mailing Address | 205 W PORTLAND ST STUDIO 341C |
| City | PHOENIX |
| State | AZ |
| ZIP | 85003 |
| Accounting period End | 12 |
| Primary contact name | CHRISTOPHER PETERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DANIEL DAVISSON
PRESIDENT
205 W PORTLAND ST STUDIO 341
PHOENIX AZ 85003
Officer/Director/Trustee Two
JENNIFER BARRAZA
VICE PRESIDENT
949 E IVYGLEN ST
MESA AZ 85203
Officer/Director/Trustee Three
CHRISTOPHER PETERSON
TREASURER
815 N 52ND ST APT 2410
PHOENIX AZ 85008
Officer/Director/Trustee Four
SARAH BRYMER
SECRETARY
1237 E ROOSEVELT ST SUITE 1
PHOENIX AZ 85006
Officer/Director/Trustee Five
STACEY WALSTON
EXECUTIVE BOARD MEMBER
2021 E JUANITA AVE
MESA AZ 85204
| Organization’s website | BLKBOXPHX.COM |
|---|---|
| Organization’s email | INFO@BLKBOXPHX.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/21/17 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A65 - Theater |
| 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 | Yes |
| 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 | CHRISTOPHER PETERSON |
| Signature Title | TREASURER |
| Signature Date | 6/29/18 |
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