FORM 1023-EZ for SUPER STARS PLAY AND LEARN ACADEMY

Field Data
EIN 81-2186530
Case Number EO-2016105-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPER STARS PLAY AND LEARN ACADEMY
Organization’s Mailing Address 423 EAST LEDBETTER DR APT 527
City DALLAS
State TX
ZIP 75216
Accounting period End 12
Primary contact name AKEMI ANDERSON-DARJEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AKEMI ANDERSON-DARJEAN
DIRECTOR / PRESIDENT
423 EAST LEDBETTER DR APT 527
DALLAS TX 75216

Officer/Director/Trustee Two

GREGORY ANDERSON
DIRECTOR / VICE PRESIDENT
1616 WAVECREST DRIVE
GLENN HEIGHTS TX 75154

Officer/Director/Trustee Three

TERRY WESLEY
DIRECTOR / TREASURER
5075 PEAR RIDGE DRIVE APT 824
DALLAS TX 75287

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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