FORM 1023-EZ for SAHARA SMILES FOUNDATION

Field Data
EIN 84-3371987
Case Number EO-2019318-000006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAHARA SMILES FOUNDATION
Organization’s Mailing Address 735 BUCK CASH DR
City WESTMINSTER
State MD
ZIP 21158
Accounting period End 12
Primary contact name SCOTT LAVERDIERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLENA LAVERDIERE
PRESIDENT
735 BUCK CASH DR
WESTMINSTER MD 21158

Officer/Director/Trustee Two

SCOTT LAVERDIERE
TREASURER
735 BUCK CASH DR
WESTMINSTER MD 21158

Officer/Director/Trustee Three

RACHEL CHENOWETH
VICE PRESIDENT
5780 WEST FALLS RD
MT AIRY MD 21771

Officer/Director/Trustee Four

CINDY BURKOVICH
EXECUTIVE DIRECTOR
6095 FLAGSTONE CT
FREDERICK MD 21701

Organization’s website WWW.SAHARASMILES.ORG
Organization’s email SAHARASMILES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 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 MARLENA LAVERDIERE
Signature Title PRESIDENT
Signature Date 11/9/19

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