FORM 1023-EZ for TEAM NOAH FOUNDATION

Field Data
EIN 47-2792515
Case Number EO-2015049-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM NOAH FOUNDATION
Organization’s Mailing Address 1238 CRYSTAL HEIGHTS RD
City CRYSTAL CITY
State MO
ZIP 63019-1414
Accounting period End 12
Primary contact name CHARLES SEVICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES SEVICK
PRESIDENT
1550 WESTVALE DR
Festus MO 63028-2029

Officer/Director/Trustee Two

BETTINA GOSCINSKI
TREASURER
1238 CRYSTAL HEIGHTS RD
CRYSTAL CITY MO 63019-1414

Officer/Director/Trustee Three

DWAYNE GOSCINSKI
VICE PRESIDENT
1238 CRYSTAL HEIGHTS RD
CRYSTAL CITY MO 63019-1414

Officer/Director/Trustee Four

MARIA ESSWEIN
SECRETARY
6824 PLATEAU AVE
ST. LOUIS MO 63139-3635

Officer/Director/Trustee Five

EMILY KORSCH
DIRECTOR
909 CONCORDIA LANE APT 1N
ST. LOUIS MO 63015-3054

Organization’s website WWW.TEAMNOAHFOUNDATION.COM
Organization’s email TEAMNOAHFOUNDATION@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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