FORM 1023-EZ for TEAM ATHLETE SCHOOL SAFETY INITIATIVE IN SPORT TRAINING PROGRAM

Field Data
EIN 82-1950896
Case Number EO-2017177-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM ATHLETE SCHOOL SAFETY INITIATIVE IN SPORT TRAINING PROGRAM
Organization’s Mailing Address 601 W 11TH AVE 114
City DENVER
State CO
ZIP 80204
Accounting period End 3
Primary contact name BRIAN KEENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN J KEENE
FOUNDER
601 W 11TH AVE 114
DENVER CO 80204

Organization’s website WWW.TEAMASSIST.ORG
Organization’s email INFO@TEAMASSIST.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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