FORM 1023-EZ for A WAY TO SMILE FOUNDATION

Field Data
EIN 82-3170178
Case Number EO-2018135-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WAY TO SMILE FOUNDATION
Organization’s Mailing Address PO BOX 715
City DE SOTO
State IA
ZIP 50069
Accounting period End 12
Primary contact name JOHN FUQUEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN FUQUEY
VICE PRESIDENT
320 WILLOW
DE SOTO IA 50069

Officer/Director/Trustee Two

TERESA FUQUEY
TREASURER
320 WILLOW
DE SOTO IA 50069

Officer/Director/Trustee Three

TAMMY GOULD
PRESIDENT
1250 SE 11TH APT 8106
GRIMES IA 50111

Officer/Director/Trustee Four

LINDSAY RAINS
SECRETARY
540 9TH
WEST DES MOINES IA 50265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/17
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JOHN FUQUEY
Signature Title VICE PRESIDENT
Signature Date 5/10/18

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