FORM 1023-EZ for TEAM ANDREA FOUNDATION INC

Field Data
EIN 83-3009340
Case Number EO-2019077-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM ANDREA FOUNDATION INC
Organization’s Mailing Address 13 CATHERINE DRIVE
City PEABODY
State MA
ZIP 1960-3309
Accounting period End 12
Primary contact name NICHOLAS CAPPELLUCCI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS CAPPELLUCCI
PRESIDENT
13 CATHERINE DRIVE
PEABODY MA 1960-3309

Officer/Director/Trustee Two

CHRISTINE DOE
SECRETARY
16 MILAND AVENUE
CHELMSFORD MA 1824-2249

Officer/Director/Trustee Three

ALLISON HARREN
CLERK
168 GREEN STREET
READING MA 1867-2738

Officer/Director/Trustee Four

CASEY BLAKE
DIRECTOR
36 STOUGHTON STREET
MEDFORD MA 2155-4221

Officer/Director/Trustee Five

CRISTINA LEONE
TREASURER
34 DICKINSON ROAD
BRIGHTON MA 2135-3007

Organization’s website HTTPS://WWW.TEAMANDREAFOUNDATION.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - 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 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 NICHOLAS CAPPELLUCCI
Signature Title PRESIDENT
Signature Date 3/14/19

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