FORM 1023-EZ for LOW COUNTRYS TREASURED SMILES

Field Data
EIN 45-4213252
Case Number EO-2015057-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOW COUNTRYS TREASURED SMILES
Organization’s Mailing Address 2106 MT PLEASANT STREET P-137
City CHARLESTON
State SC
ZIP 29403-8400
Accounting period End 12
Primary contact name TRACY PAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACY PAGE
PRESIDENT
6518 DORCHESTER ROAD ST A
N CHARLESTON SC 29418-9997

Officer/Director/Trustee Two

DOCTOR AAL-ANUBIA
VICE PRESIDENT
7075 CROSS COUNTRY ROAD 42065
N CHARLESTON SC 29423-9998

Officer/Director/Trustee Three

SONJIA HARVEY
MEMBER
P O BOX 84
DUNCAN MS 38740

Officer/Director/Trustee Four

CHARLES HARVEY
MEMBER
P O BOX 132
DUNCAN MS 38740

Officer/Director/Trustee Five

LEE MOULTRIE
MEMBER
178 HAINSWORTH DRIVE
N. CHARLESTON SC 29418-2736

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2012
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - 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 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
Signature Title
Signature Date

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