FORM 1023-EZ for TEAM BAILEY INC

Field Data
EIN 84-2341567
Case Number EO-2019219-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM BAILEY INC
Organization’s Mailing Address PO BOX 3941
City SALEM
State OR
ZIP 97302
Accounting period End 12
Primary contact name KATHY BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY BAILEY
EXEC DIRECTOR
PO BOX 3941
SALEM OR 97302

Officer/Director/Trustee Two

KAMETRIA BAILEY
SEC/DIRECTOR
PO BOX 3941
SALEM OR 97302

Officer/Director/Trustee Three

GILBERT BAILEY
TREAS
PO BOX 3941
SALEM OR 97302

Organization’s website
Organization’s email TEAMBAILEYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KATHY BAILEY
Signature Title EXEC DIRECTOR
Signature Date 8/5/19

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