FORM 1023-EZ for SUPER 8 RESCUE INC

Field Data
EIN 84-2822021
Case Number EO-2019239-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPER 8 RESCUE INC
Organization’s Mailing Address 2906 FORK RD
City GAINESVILLE
State GA
ZIP 30506
Accounting period End 12
Primary contact name KRYSTAL BAGWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH BAGWELL
DIRECTOR
2906 FORK RD
GAINESVILLE GA 30506

Officer/Director/Trustee Two

KRYSTAL BAGWELL
DIRECTOR
2906 FORK RD
GAINESVILLE GA 30506

Officer/Director/Trustee Three

AMANDA BAGWELL CARTER
DIRECTOR
410 CARLISLE RD
JASPER GA 30143

Organization’s website SUPER8RESCUE.COM
Organization’s email KRYSTAL355@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - 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: Yes
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 KENNETH BAGWELL
Signature Title DIRECTOR
Signature Date 8/25/19

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