FORM 1023-EZ for COLUMBIA SUPREME
| Field | Data |
|---|---|
| EIN | 82-4534560 |
| Case Number | EO-2018071-000296 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLUMBIA SUPREME |
| Organization’s Mailing Address | 23150 N EVERETT CARR ROAD |
| City | CLARK |
| State | MO |
| ZIP | 65243 |
| Accounting period End | 12 |
| Primary contact name | ANTHONY JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANTHONY JOHNSON
PRESIDENT
23150 N EVERETT CARR ROAD
CLARK MO 65243
Officer/Director/Trustee Two
BREI CORNELL
TREASURER
6396 S SABINE
COLUMBIA MO 65203
Officer/Director/Trustee Three
NIKKI BONAPARTE
VICE PRESIDENT
4117 HIDDEN CREEK COURT
COLUMBIA MO 65202
Officer/Director/Trustee Four
MELISSA SEBOLDT
SECRETARY
6580 S SOUTHWEST WAY
COLUMBIA MO 65203
Officer/Director/Trustee Five
CONSUELA JOHNSON
BOARD MEMBER
400 HICKMAN AVENUE
COLUMBIA MO 65201
| Organization’s website | |
|---|---|
| Organization’s email | AJOHNSON2K12@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/23/18 |
| Organization Incorporation State | MO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | N62 - Basketball |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANTHONY JOHNSON |
| Signature Title | PRESIDENT |
| Signature Date | 3/9/18 |
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