FORM 1023-EZ for SUPERVISION
| Field | Data |
|---|---|
| EIN | 83-1616324 |
| Case Number | EO-2018317-000424 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SUPERVISION |
| Organization’s Mailing Address | 9250 LORTON VALLEY ROAD |
| City | LORTON |
| State | VA |
| ZIP | 22079 |
| Accounting period End | 12 |
| Primary contact name | MATOYA SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MATOYA SMITH
CEO/PRESIDENT
9259 LORTON VALLEY ROAD
LORTON VA 22079
Officer/Director/Trustee Two
CONNIE JONES
TREASURER
10581 EAGLE DRIVE
JONESBORO GA 30238
Officer/Director/Trustee Three
NAJIYYAH MAHDI
SECRETARY
2147 WARNER DRIVE
CHULUOTA FL 32766
Officer/Director/Trustee Four
RACHEL SMITH
OFFICER
29 TUBMAN WAT
ROCHESTER NY 14608
Officer/Director/Trustee Five
SCIOSCIA STARKS
OFFICER
5896 STRATHMOOR MANOR CIRCLE
LITHONIA GA 30058
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/29/18 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | Yes |
| 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 | MATOYA SMITH |
| Signature Title | CEO/PRESIDENT |
| Signature Date | 11/9/18 |
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