FORM 1023-EZ for SUPERIOR SOLUTIONS AND SERVICES INAGING

Field Data
EIN 47-2438062
Case Number EO-2014338-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPERIOR SOLUTIONS AND SERVICES INAGING
Organization’s Mailing Address 2913 ALTA VISTA
City SAN ANGELO
State TX
ZIP 76904
Accounting period End 12
Primary contact name ADAN GARZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAN GARZA
CEO
2913 ALTA VISTA
SAN ANGELO TX 76904

Officer/Director/Trustee Two

DAVID SANDERS
CHAIRMAN OF THE BOARD
2913 ALTA VISTA
SAN ANGELO TX 76904

Officer/Director/Trustee Three

GARY SANDERS
CFO
6003 ST ALBION H115
MOUNTLAKE TERRACE WA 98034

Officer/Director/Trustee Four

KELSEY JOHNS
BOARD MEMBER
3326 ROCKBROOK
SAN ANGELO TX 76904

Officer/Director/Trustee Five

JENNIFER JENKINS
BOARD MEMBER
2913 ALTA VISTA
SAN ANGELO TX 76904

Organization’s website
Organization’s email SUPERIORSOLUTNS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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
Signature Title
Signature Date

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