FORM 1023-EZ for TEAM SAMANTHA FOR CF

Field Data
EIN 47-3270697
Case Number EO-2016004-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM SAMANTHA FOR CF
Organization’s Mailing Address 1821 EAGLE DR
City LEAGUE CITY
State TX
ZIP 77573
Accounting period End 12
Primary contact name LAURIE J NEWLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURIE J NEWLAND
PRESIDENT
1821 EAGLE DR
LEAGUE CITY TX 77573

Officer/Director/Trustee Two

TIFFANY D NEWLAND
VICE-PRESIDENT
1821 EAGLE DR
LEAGUE CITY TX 77573

Officer/Director/Trustee Three

WILLIAM UTECHT
VICE-PRESIDENT
1821 EAGLE DR
LEAGUE CITY TX 77573

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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
Signature Title
Signature Date

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