FORM 1023-EZ for JJ SMILES INC

Field Data
EIN 81-1530003
Case Number EO-2016118-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JJ SMILES INC
Organization’s Mailing Address 108 GLENLOCH PKWY
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name LINDA BURROUGHS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA CAMPBELL
EXECUTIVE DIRECTOR
108 GLENLOCH PKWY
STOCKBRIDGE GA 30281

Officer/Director/Trustee Two

MAMIE FIELDS
ASST EXECUTIVE DIRECTOR
7178 GEORGES WAY
MORROW GA 30260

Officer/Director/Trustee Three

ALEXIS COSBY
SECRETARY
1421 MARTIN LUTHER KING JR DRIVE
GREENSBORO GA 30642

Officer/Director/Trustee Four

JANINE MCCOY
TREASURER
5387 SEABISCUIT PLACE
POWDER SPRINGS GA 30127

Officer/Director/Trustee Five

VICKIE BACON
BOARD MEMBER
128 EDGEWOOD COURT
EATONTON GA 31024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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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