FORM 1023-EZ for TEAM UP FOR T1D KIDS

Field Data
EIN 81-4845653
Case Number EO-2017006-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM UP FOR T1D KIDS
Organization’s Mailing Address 706 W 45TH AVE
City KENNEWICK
State WA
ZIP 99337-5208
Accounting period End 12
Primary contact name APRIL WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FORREST ALEXANDER
PRESIDENT
19205 N MCBEE RD
BENTON CITY WA 99320

Officer/Director/Trustee Two

APRIL WHITE
TREASURER
706 W 45TH AVE
KENNEWICK WA 99337-5208

Officer/Director/Trustee Three

DOREEN JILEK
SECRETARY
4106 S KELLER ST
KENNEWICK WA 99337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 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
Signature Title
Signature Date

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