FORM 1023-EZ for SUPER KIDS OF IDAHO INC

Field Data
EIN 46-1612672
Case Number EO-2017160-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPER KIDS OF IDAHO INC
Organization’s Mailing Address 1123 12TH AVENUE ROAD BOX 216
City NAMPA
State ID
ZIP 83686
Accounting period End 12
Primary contact name BRENDA CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE NICHOLES
PRESIDENT
1123 12TH AVENUE ROAD
NAMPA ID 83686

Officer/Director/Trustee Two

WILLIAM STRACK
DIRECTOR
1123 12TH AVENUE ROAD
NAMPA ID 83686

Officer/Director/Trustee Three

JOHN SIMPLOT
DIRECTOR
999 MAIN STREET SUITE 1300
BOISE ID 83702

Officer/Director/Trustee Four

BRENDA CAMERON
SECRETARY
102 WEST IDAHO AVENUE
HOMEDALE ID 83628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2012
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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