FORM 1023-EZ for SUPERIOR 3000 FOUNDATION INC

Field Data
EIN 38-3900892
Case Number EO-2016061-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPERIOR 3000 FOUNDATION INC
Organization’s Mailing Address 148 EAST 3RD ST
City SUPERIOR
State NE
ZIP 68978
Accounting period End 6
Primary contact name GARY G CROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY CROOK
CEO-TREAS-DIRECTOR
3544 NATIONAL CT
AUGUSTA GA 30907

Officer/Director/Trustee Two

KEITH MCINTYRE
SEC-DIRECTOR
6209 E MCKELLIPS RD NUMBER 363
MESA AZ 85215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S32 - Rural Development
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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