FORM 1023-EZ for THE KT TEAM INC

Field Data
EIN 82-1966837
Case Number EO-2017195-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KT TEAM INC
Organization’s Mailing Address PO BOX 3014
City STATESBORO
State GA
ZIP 30549
Accounting period End 12
Primary contact name DANIEL A DOOLEY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON BEARD
PRESIDENT
416 MAGNOLIA BLUFF RD
STATESBORO GA 30461

Officer/Director/Trustee Two

KERRY TERRELL
VICE PRESIDENT
1700 OLD RIVER RD
BROOKLET GA 30415

Officer/Director/Trustee Three

TREY MILLER
TREASURER
325 NEW TOWN RD
PEMBROKE GA 31321

Officer/Director/Trustee Four

ELMER MILLER
SECRETARY
408 SERENITY AVE
BROOKLET GA 30415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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
Signature Title
Signature Date

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