FORM 1023-EZ for TEAM GIVE BACK INC

Field Data
EIN 46-5680204
Case Number EO-2018289-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM GIVE BACK INC
Organization’s Mailing Address 680 RT 211E 3B247
City MIDDLETOWN
State NY
ZIP 10941-1757
Accounting period End 12
Primary contact name TEDDY MENDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TEDDY MENDEZ
PRESIDENT
680 RT 211E 3B247
MIDDLETOWN NY 10941-1757

Officer/Director/Trustee Two

TIMOTHY GRAE COOPER
TREASURER
778 BECK STREET
BRONX NY 10455-1902

Officer/Director/Trustee Three

JEREMY VEGA
VICE PRESIDENT
2400 JOHNSON AVENUE
BRONX NY 10463-6464

Officer/Director/Trustee Four

YECENIA COTTO
SECRETARY
941 FAILE STREET APT 5G
BRONX NY 10459-3739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/14
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 TEDDY MENDEZ
Signature Title PRESIDENT
Signature Date 10/14/18

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