FORM 1023-EZ for SUPERHERO MEDICAL SUPPLY COMPANY

Field Data
EIN 86-1861345
Case Number EO-2021089-000484
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPERHERO MEDICAL SUPPLY COMPANY
Organization’s Mailing Address 503 MOSSY OAK RIDGE
City PRATTVILLE
State AL
ZIP 36066
Accounting period End 12
Primary contact name RENEE EMANUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE EMANUEL
PRESIDENT/TREASURER
503 MOSSY OAK RIDGE
PRATTVILLE AL 36066

Officer/Director/Trustee Two

TERESA VINES
VICE PRESIDENT
25 RODGERSVIEW COURT
MILLBROOK AL 36054

Officer/Director/Trustee Three

MELINDA ALLEN
SECRETARY
617 LITTLE FARM ROAD
PRATTVILLE AL 36066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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 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 RENEE EMANUEL
Signature Title PRESIDENT/TREASURER
Signature Date 2/10/2021

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