FORM 1023-EZ for SUPERSTAR FITNESS

Field Data
EIN 82-4715308
Case Number EO-2018071-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUPERSTAR FITNESS
Organization’s Mailing Address 4205 N MACARTHUR BLVD
City WARR ACRES
State OK
ZIP 73122
Accounting period End 12
Primary contact name ANDREA CARRIGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA CARRIGAN
DIRECTOR, PRESIDENT,TREASURER
4205
WARR ACRES OK 73122

Officer/Director/Trustee Two

BRAN PARKER
OFFICER
4205 N MACARTHUR
WARR ACRES OK 73122

Organization’s website
Organization’s email SUPERSTARFITNESSOKC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 ANDREA CARRIGAN
Signature Title DIRECTOR, PRESIDENT,TREASURER
Signature Date 3/9/18

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