FORM 1023-EZ for SUPERNOVALEGACY

Field Data
EIN 86-2841634
Case Number EO-2021146-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPERNOVALEGACY
Organization’s Mailing Address 10940 A CASSINA AVENUE
City SOUTH GATE
State CA
ZIP 90280
Accounting period End 12
Primary contact name MIGUEL QUIMBAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA GUTIERREZ
PRESIDENT & DIRECTOR
10940 A CASSINA AVENUE
SOUTH GATE CA 90280

Officer/Director/Trustee Two

NICOLE JOHNSON
TREASURER & DIRECTOR
3165 BAISLEY AVENUE
BRONX NY 10465

Officer/Director/Trustee Three

LISA SHAW
SECRETARY & DIRECTOR
36 HOWELL STREET
CANANDAIGUA NY 14424

Organization’s website WWW.SUPERNOVALEGACY.COM
Organization’s email SANVITERREZ@GAMIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 SANDRA GUTIERREZ
Signature Title PRESIDENT & DIRECTOR
Signature Date 5/24/2021

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