FORM 1023-EZ for A-TEAM SCHOLARSHIP

Field Data
EIN 84-3102923
Case Number EO-2019318-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A-TEAM SCHOLARSHIP
Organization’s Mailing Address 42 E WINDSOR CT
City BOUNTIFUL
State UT
ZIP 84010
Accounting period End 12
Primary contact name GAVIN WASHBURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

I GAVIN WASHBURN
DIRECTOR
42 E WINDSOR CT
BOUNTIFUL UT 84010

Officer/Director/Trustee Two

PHILLIP H WASHBURN
DIRECTOR
42 E WINDSOR CT
BOUNTIFUL UT 84010

Officer/Director/Trustee Three

ANNA E WILSON
DIRECTOR
42 E WINDSOR CT
BOUNTIFUL UT 84010

Officer/Director/Trustee Four

IAN G WASHBURN
DIRECTOR
42 E WINDSOR CT
BOUNTIFUL UT 84010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name I GAVIN WASHBURN
Signature Title DIRECTOR
Signature Date 11/12/19

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