FORM 1023-EZ for RENEWING SMILES INC

Field Data
EIN 47-4221653
Case Number EO-2015175-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RENEWING SMILES INC
Organization’s Mailing Address 3443 VALLEJO STREET
City DENVER
State CO
ZIP 80211
Accounting period End 12
Primary contact name ABI FADEYI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SETH KINCAID
DIRECTOR
150 W 9TH AVE UNIT 1311
DENVER CO 80204

Officer/Director/Trustee Two

BARTON MONTGOMERY
TREASURER
10748 MANORSTONE DRIVE
HIGHLANDS RANCH CO 80126

Officer/Director/Trustee Three

ABI FADEYI
DIRECTOR
3443 VALLEJO STREET
DENVER CO 80211

Officer/Director/Trustee Four

ERIC CLAYTOR
DIRECTOR
17011 LINCOLN AVENUE BOX 456
PARKER CO 80134

Officer/Director/Trustee Five

ROBERT VANGORDER
DIRECTOR
10667 STONE CREEK CT
PARKER CO 80134

Organization’s website WWW.RENEWINGSMILES.ORG
Organization’s email INFO@RENEWINGSMILES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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