FORM 1023-EZ for SMILE FOR NIKKI INC

Field Data
EIN 47-5245397
Case Number EO-2016006-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMILE FOR NIKKI INC
Organization’s Mailing Address 2804 LEXINGTON DRIVE
City HAZEL CREST
State IL
ZIP 60429
Accounting period End 12
Primary contact name VICKI OLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICKI OLDS
PRESIDENT
2804 LEXINGTON DRIVE
HAZEL CREST IL 60429

Officer/Director/Trustee Two

JOHNNY WALKER
TREASURER
2804 LEXINGTON DR
HAZEL CREST IL 60429

Officer/Director/Trustee Three

KACI BOSTON
VICE-PRESIDENT
1165 E 173RD PL
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Four

TAMARA MC DONALD
SECRETARY
1006B E 162ND STREET B
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Five

DONNI BOSTON
DIRECTOR
1165 E 173RD PL
SOUTH HOLLAND IL 60473

Organization’s website WWW.SMILEFORNIKKI.ORG
Organization’s email V.OLDS@SMILEFORNIKKI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6E - Performing Arts Schools
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 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
Signature Title
Signature Date

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