FORM 1023-EZ for SUPER HEROES 5K INC

Field Data
EIN 66-0866654
Case Number EO-2018079-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPER HEROES 5K INC
Organization’s Mailing Address URB VISTA ALEGRE SEVILLA 66
City AGUADILLA
State PR
ZIP 603
Accounting period End 12
Primary contact name SOAMMY DELIZ ACEVEDO HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUZ NEREIDA SOLIS LOPEZ
DIRECTOR
REPARTO SAN ANTONIO CALLE TOPACIO 6
ISABELA PR 662

Officer/Director/Trustee Two

HIRAM E CEREZO SUAREZ
VICE PRESIDENTE
PO BOX 250 -554 RAMEY STATION
AGUADILLA PR 604

Officer/Director/Trustee Three

SARED MERCADO
SECRETARIA
HC 03 BOX 12489
CAMUY PR 627

Officer/Director/Trustee Four

ALEINESS VALENTIN NUNEZ
TESORERA
PO BOX 1501
AGUADA PR 602

Officer/Director/Trustee Five

JASMIN ACEVEDO HERNANDEZ
VOCAL
URB VISTA ALEGRE CALLE SERVILLA 66
AGUADA PR 602

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/16
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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 Yes
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 LUZ NEREIDA SOLIS LOPEZ
Signature Title DIRECTOR
Signature Date 3/16/18

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