FORM 1023-EZ for TEAM NUBIAN

Field Data
EIN 85-3511731
Case Number EO-2021085-001285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM NUBIAN
Organization’s Mailing Address 5489 BERRY BLOSSOM WAY E
City WEST PALM BEACH
State FL
ZIP 33415
Accounting period End 9
Primary contact name TYRONE COWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE COWELL
PRESIDENT
5489 BERRY BLOSSOM WAY E
WEST PALM BEACH FL 33415

Officer/Director/Trustee Two

MELVIN CLARK
VP
1801 NORTH FLAGLER DR UNIT 121
WEST PALM BEACH FL 33407

Officer/Director/Trustee Three

JAMES CHISM
SECRETARY
837 NW 82ND LN
BOCA RATON,FL 33487 FL 33487

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Correctness Declaration Yes
Signature Name TYRONE COWELL
Signature Title PRESIDENT
Signature Date 2/7/2021

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