FORM 1023-EZ for TEAM SELF-ESTEEM INC

Field Data
EIN 84-4248507
Case Number EO-2020021-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM SELF-ESTEEM INC
Organization’s Mailing Address 4728 OKEECHOBEE BOULEVARD
City WEST PALM BEACH
State FL
ZIP 33417
Accounting period End 12
Primary contact name SHANDDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY HARDWICK
PRESIDENT AND CEO
4728 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL 33417

Officer/Director/Trustee Two

JONATHAN ORTIZ
DIRECTOR
4728 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL 33417

Officer/Director/Trustee Three

SHONA SMITH
DIRECTOR
4728 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL 33417

Officer/Director/Trustee Four

NICHOLAS DYER
DIRECTOR
4728 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL 33417

Officer/Director/Trustee Five

TORRY WHITE
DIRECTOR
4728 OKEECHOBEE BOULEVARD
WEST PALM BEACH FL 33417

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 RODNEY HARDWICK
Signature Title PRESIDENT AND CEO
Signature Date 1/17/2020

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