FORM 1023-EZ for JUST 4 A SMILE ONE ON ONE MINI MINISTRIES

Field Data
EIN 83-1847301
Case Number EO-2019172-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUST 4 A SMILE ONE ON ONE MINI MINISTRIES
Organization’s Mailing Address 8610 MEMPHIS AVE APT A
City LUBBOCK
State TX
ZIP 79423
Accounting period End 12
Primary contact name ANN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN JONES
EXECUTIVE DIRECTOR / TREASURER
8610 MEMPHIS AVE
LUBBOCK TX 79423

Officer/Director/Trustee Two

MELISSA WARD
DIRECTOR
1605 GUNNISON DR
WICHITA FALLS TX 76306

Officer/Director/Trustee Three

RICHARD SHIELDS
SECRETARY
1610 DIAMOND CIR
GAINSVILLE TX 76240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 ANN JONES
Signature Title EXECUTIVE DIRECTOR / TREASURER
Signature Date 6/19/19

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