FORM 1023-EZ for TEAM UNITED FOUNDATION

Field Data
EIN 83-3801289
Case Number EO-2019177-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM UNITED FOUNDATION
Organization’s Mailing Address 112 DUPRE STREET
City HOUMA
State LA
ZIP 70364
Accounting period End 12
Primary contact name KCHRISTON THERIOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KCHRISTON THERIOT
DIRECTOR, PRESIDENT
112 DUPRE STREET
HOUMA LA 70364

Officer/Director/Trustee Two

JESSICA DEROCHE
DIRECTOR VICE PRESIDENT
112 DUPRE STREET
HOUMA LA 70364

Officer/Director/Trustee Three

OLIVIA BORNE
DIRECTOR, SECRETARY
112 DUPRE STREET
HOUMA LA 70364

Organization’s website
Organization’s email THERIOTKCHRISTON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 KCHRISTON THERIOT
Signature Title DIRECTOR, PRESIDENT
Signature Date 6/24/19

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