Could be anything from on entry point on a phishing campaign to simply flooding their inbox with useless shit
Edit
Also, they likely use exchange, so if you were to spoof their email@ domain.onmicrosoft.com address, you could really trick people into thinking it was an official email from any of those addresses
You gotta spoof the from email address. If you find an open mail relay, it's as easy as using the send-mail command in PowerShell. I never actually did that particular kind of operation in Linux, but I would be surprised if there isn't a cli that would do that.