FORM 1023-EZ for SUPERNOVA KIDS

Field Data
EIN 81-3587787
Case Number EO-2016264-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPERNOVA KIDS
Organization’s Mailing Address PO BOX 6321
City ALEXANDRIA
State VA
ZIP 22150
Accounting period End 8
Primary contact name ELENI THEODORAKOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELENI THEODORAKOS
PRESIDENT
6002 MARSHAM CT APT 202
ALEXANRIA VA 22315

Officer/Director/Trustee Two

JUSTIN NGUYEN
VICE PRESIDENT
7302 TREETOP HILL LANE
SPRINGFIELD VA 22152

Officer/Director/Trustee Three

RACHEL BIRT
BOARD MEMBER
392 RAVEN CIRCLE
CAMDEN WYOMING DE 19934

Officer/Director/Trustee Four

DEBORAH ENGLAND
BOARD MEMBER
8125 LOVING CT
SPRINGFIELD VA 22153

Officer/Director/Trustee Five

ANNA BELLDAN
BOARD MEMBER
34 STELLE RD
DOVER DE 19901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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