FORM 1023-EZ for SUPER KIDS MISSION ZERO INC

Field Data
EIN 81-5425230
Case Number EO-2017083-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPER KIDS MISSION ZERO INC
Organization’s Mailing Address 7905 STONEHURST DRIVE
City INDIANAPOLIS
State IN
ZIP 46256-2706
Accounting period End 12
Primary contact name JESSICA ROHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN CULP
VICE PRESIDENT
590 COBB AVENUE MD 0202
KENNESAW GA 30144-5063

Officer/Director/Trustee Two

NANETTE ROBERTS
PRESIDENT
10326 STINGRAY DRIVE
INDIANAPOLIS IN 46256-9790

Officer/Director/Trustee Three

NICOLE ZIEGENFUSS
SECRETARY
6705 SMITHFIELD BOULEVARD
INDIANAPOLIS IN 46237-9107

Officer/Director/Trustee Four

JESSICA ROHN
EXECUTIVE DIRECTOR AND FOUNDER
7905 STONEHURST DRIVE
INDIANAPOLIS IN 46256-2706

Organization’s website HTTPS://SUPERKIDSMISSIONZERO.ORG
Organization’s email CONTACT@SUPERKIDSMISSIONZERO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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