FORM 1023-EZ for TEAM HALO

Field Data
EIN 82-1703785
Case Number EO-2017153-000375
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM HALO
Organization’s Mailing Address 119 W 12TH STREET
City COZAD
State NE
ZIP 69130
Accounting period End 12
Primary contact name PAUL DOUDNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL DOUDNEY
DIRECTOR
119 W 12TH STREET
COZAD NE 69130

Officer/Director/Trustee Two

GEOFF CAGLE
DIRECTOR
629 LANE STREET
CLAY CENTER KS 67432

Officer/Director/Trustee Three

MATT SLATTER
DIRECTOR
412 8TH STREET
PHILLIPS NE 68865

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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