FORM 1023-EZ for VETERANS SMILE PROGRAM

Field Data
EIN 85-2229339
Case Number EO-2020213-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS SMILE PROGRAM
Organization’s Mailing Address 1332 S DOUGLAS AVENUE LOT 105
City MONTGOMERY
State IL
ZIP 60538
Accounting period End 12
Primary contact name PATRICIA DEVORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA DEVORE
PRESIDENT
1332 S DOUGLAS AVENUE LOT 105
MONTGOMERY IL 60538

Officer/Director/Trustee Two

MAUREEN ROBERTSON
DIRECTOR
1336 S DOUGLAS AVENUE LOT 15
MONTGOMERY IL 60538

Officer/Director/Trustee Three

KATHLEEN GRANHOLM
TREASURER
32 PASADENA DRIVE
OSWEGO IL 60543

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' 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 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 PATRICIA DEVORE
Signature Title PRESIDENT
Signature Date 7/29/2020

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