FORM 1023-EZ for BLESSING BOX MINISTRY INC

Field Data
EIN 83-4240831
Case Number EO-2019142-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSING BOX MINISTRY INC
Organization’s Mailing Address PO BOX 1206
City DUNN
State NC
ZIP 28335
Accounting period End 12
Primary contact name ADAM KOESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BELINDA SURLES
PRESIDENT
45 SURLES HARMON LANE
NEWTON GROVE NC 28366-6796

Officer/Director/Trustee Two

TAMEKA SHAW
SECRETARY
73 W STRICKLAND RD
DUNN NC 28334-8747

Officer/Director/Trustee Three

SHARDENIA WILLIAMS
TREASURER
122 EAST AVE
FAYETTEVILLE NC 28301

Officer/Director/Trustee Four

ADAM KOESTER
DIRECTOR
402 NORTH STREET
ZEARING IA 50278

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 ADAM KOESTER
Signature Title DIRECTOR
Signature Date 5/20/19

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