FORM 1023-EZ for SANTAS SMILES

Field Data
EIN 85-1428625
Case Number EO-2021250-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SANTAS SMILES
Organization’s Mailing Address PO BOX 193
City FLORA
State IL
ZIP 62839
Accounting period End 12
Primary contact name RICHARD L PETREA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY ANNE PITTMAN
PRESIDENT
PO BOX 234
FLORA IL 62839

Officer/Director/Trustee Two

MIKE BURGE
VICE PRESIDENT
721 W 7TH ST
FLORA IL 62839

Officer/Director/Trustee Three

ROBIN BROOKS
TREASURER
2160 COUNTY HWY 20
RINARD IL 62878

Officer/Director/Trustee Four

ANDREA MILONE
SECRETARY
445 VINCENNES AVE
FLORA IL 62839

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 ANDREA MILONE
Signature Title SECRETARY
Signature Date 9/2/2021

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