FORM 1023-EZ for SUPERIOR ANGELS FOUNDATION INC

Field Data
EIN 83-4242611
Case Number EO-2019352-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPERIOR ANGELS FOUNDATION INC
Organization’s Mailing Address PO BOX 242907
City CHARLOTTE
State NC
ZIP 28224
Accounting period End 12
Primary contact name R RYAN PEGRAM II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW MITCHELL
CEO DIRECTOR
1939 E MAIN ST
ALBEMARLE NC 28001

Officer/Director/Trustee Two

DERICK JAMES PEGRAM
CFO DIRECTOR
1939 E MAIN ST
ALBEMARLE NC 28001

Officer/Director/Trustee Three

RICK RYAN PEGRAM II
VICE PRESIDENT DIRECTOR
1939 E MAIN S
ALBEMARLE NC 28001

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICK RYAN PEGRAM II
Signature Title VICE PRESIDENT DIRECTOR
Signature Date 12/16/2019

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