FORM 1023-EZ for TJS TEAM FOUNDATION

Field Data
EIN 82-4681662
Case Number EO-2018078-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TJS TEAM FOUNDATION
Organization’s Mailing Address 10629 MOUNTAIN SPRINGS DRIVE
City CHARLOTTE
State NC
ZIP 28278
Accounting period End 12
Primary contact name TRAVIS ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS ANDERSON
DIRECTOR AND PRESIDENT
10629 MOUNTAIN SPRINGS DRIVE
CHARLOTTE NC 28278

Officer/Director/Trustee Two

ANNA ANDERSON
DIRECTOR AND TREASURER
10629 MOUNTAIN SPRINGS DRIVE
CHARLOTTE NC 28278

Officer/Director/Trustee Three

ANGELA REGAN
DIRECTOR AND VICE PRESIDENT
20209 RIVERCHASE DRIVE
CORNELIUS NC 28031

Officer/Director/Trustee Four

CHRISTINE BOLEN
DIRECTOR
301 HAWTHORN LANE SUITE 100
CHARLOTTE NC 28204

Officer/Director/Trustee Five

STEVEN JUSTICE
DIRECTOR
1924 KINGS MANOR COURT
MATTHEWS NC 28105

Organization’s website
Organization’s email TRAV8200@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 TRAVIS ANDERSON
Signature Title DIRECTOR AND PRESIDENT
Signature Date 3/15/18

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