FORM 1023-EZ for TEAM LOCHSA INC

Field Data
EIN 46-1051540
Case Number EO-2016090-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM LOCHSA INC
Organization’s Mailing Address 17300 LOLO CREEK RD
City LOLO
State MT
ZIP 59847-8401
Accounting period End 12
Primary contact name JEFF HOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT BLEDSOE
CEO PRESIDENT
17300 LOLO CREEK RD
LOLO MT 59847-8401

Officer/Director/Trustee Two

JEFF HOOD
CFO
2712 MCPHERSON LANE
FLOWER MOUND TX 75022

Officer/Director/Trustee Three

JIM HAYDEN
DIRECTOR-OPERATIONS
18489 HIGHWAY 12 W
LOLO MT 59847-8404

Officer/Director/Trustee Four

JON NORMAN
DIRECTOR
17300 LOLO CREEK RD
LOLO MT 59847-8401

Officer/Director/Trustee Five

LEIGH BLEDSOE
DIRECTOR-MARKETING
17300 LOLO CREEK ROAD
LOLO MT 59847-8401

Organization’s website HTTP://TEAMLOCHSA.COM
Organization’s email TEAMLOCHSA@TEAMLOCHSA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2012
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 No
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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