FORM 1023-EZ for TEAM KB

Field Data
EIN 83-1436255
Case Number EO-2018236-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM KB
Organization’s Mailing Address 9231 N HAVEN ST
City PORTLAND
State OR
ZIP 97203
Accounting period End 12
Primary contact name ADAM KENNYBREW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN WRIGHT
TREASURER
7736 SE 120TH PLACE
PORTLAND OR 97266

Officer/Director/Trustee Two

ALICE WRIGHT
SECRETARY
7736 SE 120TH PLACE
PORTLAND OR 97266

Officer/Director/Trustee Three

MELISSA KENNYBREW
VICE-PRESIDENT
9231 N HAVEN ST
PORTLAND OR 97203

Officer/Director/Trustee Four

ADAM KENNYBREW
PRESIDENT
9231 N HAVEN ST
PORTLAND OR 97203

Organization’s website
Organization’s email COACHKENNYBREW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 BRIAN WRIGHT
Signature Title TREASURER
Signature Date 8/22/18

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