FORM 1023-EZ for TEAM CALEB

Field Data
EIN 47-3182242
Case Number EO-2015061-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM CALEB
Organization’s Mailing Address 1706 GARNERS CREEK RD
City DICKSON
State TN
ZIP 37055-4413
Accounting period End 12
Primary contact name GEORGE KUCHTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE KUCHTA
PRESIDENT
1706 GARNERS CREEK RD
DICKSON TN 37055-4413

Officer/Director/Trustee Two

ANDREA KUCHTA
VICE PRESIDENT/SECRETARY
1706 GARNERS CREEK RD
DICKSON TN 37055-4413

Officer/Director/Trustee Three

STANLEY JONES
TREASURER
212 DRUID HILLS DR
DICKSON TN 37055

Organization’s website N/A
Organization’s email OPERATIONTEAMCALEB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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