FORM 1023-EZ for SUPREME DREAM FOUNDATION

Field Data
EIN 84-1750411
Case Number EO-2021194-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPREME DREAM FOUNDATION
Organization’s Mailing Address 18853 GAINSBOROUGH ROAD
City DETROIT
State MI
ZIP 48223
Accounting period End 12
Primary contact name CHRIS DOUGLAS- ROBERTS BEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS DOUGLAS- ROBERTS BEY
DIRECTOR
18853 GAINSBOROUGH ROAD
DETROIT MI 48223

Officer/Director/Trustee Two

RAVEN DOUGLAS- ROBERTS BEY
DIRECTOR
18853 GAINSBOROUGH ROAD
DETROIT MI 48223

Officer/Director/Trustee Three

CODY FANNING
DIRECTOR
3130 WEST ROCK HILL ROAD
TUCSON AZ 85742

Organization’s website CRSUPREMEDREAM.ORG
Organization’s email US@CDRSUPREMEDREAM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 CHRIS DOUGLAS- ROBERTS BEY
Signature Title DIRECTOR
Signature Date 7/11/2021

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