FORM 1023-EZ for LEADERSHIP TEAMBUILDER

Field Data
EIN 82-2541896
Case Number EO-2017243-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP TEAMBUILDER
Organization’s Mailing Address 654 N WELLWOOD AVENUE STE D 110
City LINDENHURST
State NY
ZIP 11757-3535
Accounting period End 12
Primary contact name JAY OLIVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY OLIVO
PRESIDENT
521 N LEWIS AVENUE
LINDENHURST NY 11757-3535

Officer/Director/Trustee Two

JANTRA OLIVO
TREASURER
521 N LEWIS AVE
LINDENHURST NY 11757-3535

Officer/Director/Trustee Three

JAYSON OLIVO
DIRECTOR
521 N LEWIS AVENUE
LINDENHURST NY 11757-3535

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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