FORM 1023-EZ for TEAM JAIDEN FOUNDATION

Field Data
EIN 83-1954586
Case Number EO-2018264-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM JAIDEN FOUNDATION
Organization’s Mailing Address 12432 S GALLERY ST
City OLATHE
State KS
ZIP 66062
Accounting period End 12
Primary contact name KIMBERLY SHEAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIDEN BUCKERT
PRESIDENT
12432 S GALLERY ST
OLATHE KS 66062

Officer/Director/Trustee Two

DEBORAH CLEM-BUCKERT
SECRETARY
12432 S GALLERY ST
OLATHE KS 66062

Officer/Director/Trustee Three

KIMBERLY SHEAHAN
TREASURER
1851 S PARFET CT
LAKEWOOD CO 80232

Organization’s website TEAMJAIDEN.COM
Organization’s email TEAMJAIDEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 KIMBERLY SHEAHAN
Signature Title TREASURER
Signature Date 9/19/18

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