FORM 1023-EZ for GARFIELD COUNTY SUPERCITIZENS

Field Data
EIN 91-1122112
Case Number EO-2021293-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARFIELD COUNTY SUPERCITIZENS
Organization’s Mailing Address PO BOX 23
City POMEROY
State WA
ZIP 99347
Accounting period End 12
Primary contact name HELEN BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HELEN BURKE
PRESIDENT
PO BOX 526
POMEROY WA 99347

Officer/Director/Trustee Two

ALICE GWINN
VICE PRESIDENT
PO BOX 23
POMEROY WA 99347

Officer/Director/Trustee Three

LARRY KOLLER
TREASURER
PO BOX 23
POMEROY WA 99347

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/1980
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HELEN BURKE
Signature Title PRESIDENT
Signature Date 10/18/2021

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