FORM 1023-EZ for SUPER CERTIFICATION

Field Data
EIN 87-1538967
Case Number EO-2021253-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPER CERTIFICATION
Organization’s Mailing Address 2081 CENTER STREET
City BERKELEY
State CA
ZIP 94704
Accounting period End 6
Primary contact name TRACY WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANUEL MAQUEDA
PRESIDENT
2081 CENTER STREET
BERKELEY CA 94704

Officer/Director/Trustee Two

TRACY WILSON
SECRETARY AND TREASURER
2081 CENTER STREET
BERKELEY CA 94704

Officer/Director/Trustee Three

MOLLY MOORE GOMES
BOARD MEMBER
2081 CENTER STREET
BERKELEY CA 94704

Officer/Director/Trustee Four

MATTHEW LONDON
BOARD MEMBER
2081 CENTER STREET
BERKELEY CA 94704

Officer/Director/Trustee Five

SYLVIA XIAORUI WEN
BOARD MEMBER
2081 CENTER STREET
BERKELEY CA 94704

Organization’s website WWW.SUPER.NGO
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 TRACY WILSON
Signature Title SECRETARY AND TREASURER
Signature Date 9/8/2021

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