FORM 1023-EZ for TEAM USA KETTLEBELL LIFTING

Field Data
EIN 83-2409590
Case Number EO-2018319-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM USA KETTLEBELL LIFTING
Organization’s Mailing Address 5187 THAMES COURT
City JACKSON
State MI
ZIP 49201
Accounting period End 12
Primary contact name RHONDA GLICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA GLICK
PRESIDENT
5187 THAMES COURT
JACKSON MI 49201

Officer/Director/Trustee Two

MICHELLE LATOUR
SECRETARY
4770 BARELA WAY
LAS VEGAS NV 89147

Officer/Director/Trustee Three

ED ST JOHN
TREASURER
50 DICKENS ST
SPRING ARBOR MI 49283

Officer/Director/Trustee Four

DAVID STEELE
VICE PRESIDENT
1625 MAYBE HILL ROAD
WILLIAMSPORT PA 17701

Organization’s website WWW.TEAMUSAKETTLEBELLLIFTING.ORG
Organization’s email INFO@TEAMUSAKETTLEBELLSPORTLIFTING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 RHONDA GLICK
Signature Title PRESIDENT
Signature Date 11/13/18

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