FORM 1023-EZ for SMILE ANGEL FOUNDATION INC

Field Data
EIN 46-5760820
Case Number EO-2014245-000443
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMILE ANGEL FOUNDATION INC
Organization’s Mailing Address 1925 HOLDER ROAD
City TITUSVILLE
State FL
ZIP 32796-1178
Accounting period End 12
Primary contact name SHERRYL WORST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRYL WORST
CEO
1925 HOLDER ROAD
TITUSVILLE FL 32796-1178

Officer/Director/Trustee Two

THERESA RUSSO
SECRETARY
8001 SW MARIN DR
STUART FL 34997-7211

Officer/Director/Trustee Three

PETER RUSSO
TREASURER
8001 SW MARIN DR
STUART FL 34997-7211

Officer/Director/Trustee Four

MIKE RUSSO
OFFICER
5762 LAGO VILLAGGIO
NAPLES FL 34014-5742

Officer/Director/Trustee Five

RYAN WORST
OFFICER
1925 HOLDER ROAD
TITUSVILLE FL 32796-7110

Organization’s website WWW.SMILEANGELUSA.ORG
Organization’s email SMILEANGELUSA@CFL.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 Yes
One Third Support Public Yes
One Third Support Gifts No
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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