| Field | Data |
|---|---|
| EIN | 84-2515094 |
| Case Number | EO-2019297-000298 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SUPERFICIAL SIDEROSIS RESEARCH ALLIANCE INC |
| Organization’s Mailing Address | N28W24389 SINGLE TREE CT |
| City | PEWAUKEE |
| State | WI |
| ZIP | 53072 |
| Accounting period End | 12 |
| Primary contact name | KYLE DEMPSEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KYLE DEMPSEY
PRESIDENT
N28W24389 SINGLE TREE CT
PEWAUKEE WI 53072
SUSAN DEMPSEY
SECRETARY
N28W24389 SINGLE TREE CT
PEWAUKEE WI 53072
LLOYD GLEISNER
TREASURER
N28W24389 SINGLE TREE CT
PEWAUKEE WI 53072
RORI DANIEL
WEBSITE DIRECTOR
N28W24389 SINGLE TREE CT
PEWAUKEE WI 53072
RANDY KOHLER
BOARD MEMBER AT LARGE
N28W24389 SINGLE TREE CT
PEWAUKEE WI 53072
| Organization’s website | WWW.LIVINGWITHSS.COM |
|---|---|
| Organization’s email | KDEMPSEY2@WI.RR.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/15/19 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H12 - 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: 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 | KYLE DEMPSEY |
| Signature Title | PRESIDENT |
| Signature Date | 10/22/19 |
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