FORM 1023-EZ for CREATE A SMILE FOUNDATION

Field Data
EIN 85-2570233
Case Number EO-2020233-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATE A SMILE FOUNDATION
Organization’s Mailing Address 226 WEST 152ND STREET APT4A
City NEW YORK
State NY
ZIP 10039
Accounting period End 12
Primary contact name ABDUL MALIK MUFTAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADBUL MALIK MUFTAU
EXECUTIVE DIRECTOR
1726 DAVIDSON AVE APT 3X
BRONX NY 10453

Officer/Director/Trustee Two

JAMAL BAGIGAH
EXECUTIVE DIRECTOR
903 SUMMIT AVENUE APT 5H
BRONX NY 10452

Officer/Director/Trustee Three

AMINA ABDUL AZIM
GENERAL SECRETARY
226 WEST 152ND STREET APT4A
NEW YORK NY 10039

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 No
Conducting Activities Outside of United States Yes
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 JAMAL BAGIGAH
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/18/2020

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