FORM 1023-EZ for TEAM AMAISE INC

Field Data
EIN 85-1356821
Case Number EO-2020224-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM AMAISE INC
Organization’s Mailing Address 432 LAKE MONROE PL
City SAINT AUGUSTINE
State FL
ZIP 32092
Accounting period End 12
Primary contact name ERIC LEIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC LEIDE
PRESIDENT
432 LAKE MONROE PL
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Two

HEATHER LEIDE
TREASURER
432 LAKE MONROE PL
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Three

MARK FROST
DIRECTOR
432 LAKE MONROE PL
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Four

CALLIE JOHNSON
DIRECTOR
432 LAKE MONROE PL
SAINT AUGUSTINE FL 32092

Officer/Director/Trustee Five

ERIN HALLOCK
SECRETARY
432 LAKE MONROE PL
SAINT AUGUSTINE FL 32092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 ERIC LEIDE
Signature Title PRESIDENT
Signature Date 8/6/2020

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