FORM 1023-EZ for FLOSSIN FOR SMILES INC

Field Data
EIN 85-0993373
Case Number EO-2021056-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLOSSIN FOR SMILES INC
Organization’s Mailing Address 2931 SUNSET TERRACE
City SAN MATEO
State CA
ZIP 94403
Accounting period End 12
Primary contact name JAVIER LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVIER LOPEZ
DIRECOR
2931 SUNSET TERRACE
SAN MATEO CA 94403

Officer/Director/Trustee Two

MARIA GARCIA
DIRECTOR
2931 SUNSET TERRACE
SAN MATEO CA 94403

Officer/Director/Trustee Three

IAN HOWARD
DIRECTOR
2931 SUNSET TERRACE
SAN MATEO CA 94403

Organization’s website
Organization’s email JAVIER.2426@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 JAVIER LOPEZ
Signature Title DIRECOR
Signature Date 1/7/2021

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