FORM 1023-EZ for TEAM WADA

Field Data
EIN 85-3271332
Case Number EO-2020279-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM WADA
Organization’s Mailing Address 445 EAST NORTH WATER STREET 1902
City CHICAGO
State IL
ZIP 60611
Accounting period End 12
Primary contact name TAKEYOSHI OTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAKEYOSHI OTA
DIRECTOR
445 EAST NORTH WATER STREET 1902
CHICAGO IL 60611

Officer/Director/Trustee Two

HIROTO KITAHARA
DIRECTOR
1919 14TH STREET NW APT 606
WASHINGTON DC DC 20009

Officer/Director/Trustee Three

YUSUKE TSUKIOKA
DIRECTOR
731-1-2-502 YATSUKA SOKA
SAITAMA JAPAN

Organization’s website HTTPS://TEAMWADA.NET/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 TAKEYOSHI OTA
Signature Title DIRECTOR
Signature Date 10/1/2020

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