FORM 1023-EZ for TEAM DIBBLEE

Field Data
EIN 82-4088617
Case Number EO-2018029-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM DIBBLEE
Organization’s Mailing Address 1232 VILLA DRIVE
City MERCED
State CA
ZIP 95340
Accounting period End 12
Primary contact name ANGELA N MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA MILLER
BOARD MEMBER
1232 VILLA DRIVE
MER CA 95340

Officer/Director/Trustee Two

JEANA GOSSETT
BOARD MEMBER
1232 VILLA DRIVE
MERCED CA 95340

Officer/Director/Trustee Three

ANGIE SETO-HANSEN
BOARD MEMBER
1232 VILLA DRIVE
MERCED CA 95340

Officer/Director/Trustee Four

CINDIE DIBBLEE
BOARD MEMBER
1232 VILLA DRIVE
MERCED CA 95340

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGELA MILLER
Signature Title BOARD MEMBER
Signature Date 1/25/18

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