FORM 1023-EZ for PLANET SMILEZ INC

Field Data
EIN 47-1378352
Case Number EO-2014227-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLANET SMILEZ INC
Organization’s Mailing Address 493 FORD HILL ROAD
City HUNTER
State NY
ZIP 12442
Accounting period End 12
Primary contact name KATHRYN PAWLAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHRYN PAWLAK
CHAIRMAN OF THE BOARD OF DIRECTORS
493 FORD HILL ROAD
HUNTER NY 12442

Officer/Director/Trustee Two

DEBORAH PILLA
DIRECTOR OF CORPORATION
1035 PARK AVE APARTMENT 9B
NEW YORK NY 10029

Officer/Director/Trustee Three

HANNA- LISA BRADY
DIRECTOR OF CORPORATION
521 E 81 ST APARTMENT 3C
NEW YORK NY 10028

Organization’s website
Organization’s email KPAWLAK@PLANETSMILEZ.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 No
One Third Support Gifts Yes
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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