FORM 1023-EZ for SUPER HORNETS ROBOTICS

Field Data
EIN 84-3268431
Case Number EO-2019295-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPER HORNETS ROBOTICS
Organization’s Mailing Address 720 OBRECHT LANE
City O FALLON
State MO
ZIP 63366
Accounting period End 5
Primary contact name ANDREA ZINSELMEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA ZINSELMEYER
PRESIDENT
720 OBRECHT LANE
O FALLON MO 63366-7434

Officer/Director/Trustee Two

KWAN THAI
TREASURER
10 AVONDALE SPRING CT
O FALLON MO 63368-8653

Officer/Director/Trustee Three

CAROLYN THAI
SECRETARY
10 AVONDALE SPRING CT
O FALLON MO 63368-8653

Officer/Director/Trustee Four

BENTLEY ZINSELMEYER
BOARD MEMBER
720 OBRECHT LANE
O FALLON MO 63366-7434

Officer/Director/Trustee Five

JONATHAN LINDSEY
BOARD MEMBER
5058 THEISS RD
ST LOUIS MO 63128-1812

Organization’s website SUPERHORNETS.ORG
Organization’s email ASZINSEL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA ZINSELMEYER
Signature Title PRESIDENT
Signature Date 10/20/19

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