FORM 1023-EZ for TEAM MICAH

Field Data
EIN 84-2850076
Case Number EO-2019290-000300
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM MICAH
Organization’s Mailing Address 6102 UNION CHURCH RD
City MAGNOLIA
State MS
ZIP 39652-9759
Accounting period End 12
Primary contact name JENNIFER BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BROOKS
DIRECTOR
6102 UNION CHURCH RD
MAGNOLIA MS 39652-9759

Officer/Director/Trustee Two

LOLA HOLIFIELD
TREASURER
1062 GOLF LANE
SUMMIT MS 39662

Officer/Director/Trustee Three

LYNN MCINNIS
SECRETARY
1005 LONGLEAF DR
MCCOMB MS 39648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N71 - Olympics Committees and Related International Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 JENNIFER BROOKS
Signature Title DIRECTOR
Signature Date 10/15/19

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