FORM 1023-EZ for WORKING SMILES INC

Field Data
EIN 84-4263285
Case Number EO-2020015-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORKING SMILES INC
Organization’s Mailing Address PO BOX 784233
City WINTER GARDEN
State FL
ZIP 34778
Accounting period End 12
Primary contact name TIFFANY WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY WILLIAMS
CEO
14068 JOMATT LOOP
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

DEBORAH TITUS
CHAIR
516 S DILLARD STREET
WINTER GARDEN FL 34787

Officer/Director/Trustee Three

CHELSEA JOHNSON
VICE CHAIR
2440 ORSOTA CIRCLE
OCOEE FL 34761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 Yes
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 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 TIFFANY WILLIAMS
Signature Title CEO
Signature Date 1/13/2020

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