FORM 1023-EZ for TEAM HUMANS

Field Data
EIN 83-1368392
Case Number EO-2018218-000600
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM HUMANS
Organization’s Mailing Address 5624 RAVENEL LANE
City SPRINGFIELD
State VA
ZIP 22151-2429
Accounting period End 6
Primary contact name ZACHARY CAHALAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB RUTLAND-BROWN
BOARD CHAIR
5642 RAVENEL LANE
SPRINGFIELD VA 22151-2429

Officer/Director/Trustee Two

RODNEY GREEN
VICE-CHAIR, BOARD
3870 HIGHCREST DRIVE
BRIGHTON MI 48116-9716

Officer/Director/Trustee Three

CARMEN LIEFELD
SECRETARY & TREASURER, BOARD
2034 118TH LANE NE
BLAINE MN 55449-6055

Officer/Director/Trustee Four

ZACHARY CAHALAN
EXECUTIVE DIRECTOR & CEO
5624 RAVENEL LANE
SPRINGFIELD VA 22151-2429

Organization’s website WWW.TEAMHUMANS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 ZACHARY CAHALAN
Signature Title EXECUTIVE DIRECTOR & CEO
Signature Date 8/3/18

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