FORM 1023-EZ for TEAM BRODERICK

Field Data
EIN 81-1423423
Case Number EO-2016060-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM BRODERICK
Organization’s Mailing Address 15231 HOLCOMB CIR
City CLIVE
State IA
ZIP 50235
Accounting period End 12
Primary contact name JOSEF REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEF REED
DIRECTOR
15231 HOLCOMB CIR
CLIVE IA 50235

Officer/Director/Trustee Two

COLIN BRODERICK
DIRECTOR
508 SE 12TH STREET
GRIMES IA 50111

Officer/Director/Trustee Three

ANGELA SCHUMACHER
DIRECTOR
552 YELLOW TAIL PL
CHULUOTA FL 32766

Officer/Director/Trustee Four

JOHN ADAM
DIRECTOR
2818 E 27TH STREET
DES MOINES IA 50317

Organization’s website WWW.TEAMBRODERICK.COM
Organization’s email YOUTHTEAMBRODERICK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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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