FORM 1023-EZ for EVS SMILE FOUNDATION INC

Field Data
EIN 47-2442121
Case Number EO-2014349-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EVS SMILE FOUNDATION INC
Organization’s Mailing Address 4336 W HAPPY TRAIL
City LAVEEN
State AZ
ZIP 85339
Accounting period End 12
Primary contact name EDNA AURELUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDNA AURELUS
FOUNDER EXECUTIVE DIRECTOR
4336 W HAPPY TRAIL
LAVEEN AZ 85339

Officer/Director/Trustee Two

MEHMET GUL
ASSISTANT DIRECTOR
4336 W HAPPY TRAIL
LAVEEN AZ 85339

Officer/Director/Trustee Three

SERGE ACHILLE
CHIEF FINANCIAL OFFICER
168-24 127 AVE APT 8A-9E
JAMAICA NY 11434

Organization’s website EVSSMILEFOUNDATION.ORG
Organization’s email EVSSMILEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief 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 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
Signature Title
Signature Date

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