FORM 1023-EZ for MISSION 4 SMILES

Field Data
EIN 82-3490016
Case Number EO-2018010-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION 4 SMILES
Organization’s Mailing Address 65-11 108TH ST 5C
City FOREST HILLS
State NY
ZIP 11375-1831
Accounting period End 8
Primary contact name XIAOYI WANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIA FENG
MISS
92-17 71ST AVE
FOREST HILLS NY 11375-6706

Officer/Director/Trustee Two

ANTA NOOR
MISS
9204 218TH PL
QUEENS VILLAGE NY 11428-1849

Officer/Director/Trustee Three

XIAOYI WANG
MISS
65-11 108TH ST
FOREST HILLS NY 11375-1831

Organization’s website HTTPS://MISSION4SMILES.WORDPRESS.COM/
Organization’s email MISSION4SMILES@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name XIAOYI WANG
Signature Title MISS
Signature Date 1/8/18

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