FORM 1023-EZ for TEAMTEN

Field Data
EIN 85-2254082
Case Number EO-2020216-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAMTEN
Organization’s Mailing Address 2709 EDGEHILL DRIVE APT 10
City LOS ANGELES
State CA
ZIP 90018
Accounting period End 12
Primary contact name HEIDI JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI JOHNSON
CEO
2709 EDGEHILL DRIVE
LOS ANGELES CA 90018

Officer/Director/Trustee Two

JEFFEREY POLK
CFO
2709 EDGEHILL DRIVE
LOS ANGELES CA 90018

Officer/Director/Trustee Three

HADASSAH JOHNSON
SECRETARY
2709 EDGEHILL DRIVE
LOS ANGELES CA 90018

Organization’s website
Organization’s email SERENDIPITY9999@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 HEIDI JOHNSON
Signature Title CEO
Signature Date 7/30/2020

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