FORM 1023-EZ for JAYLAN SMILES

Field Data
EIN 81-3363477
Case Number EO-2017030-000572
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAYLAN SMILES
Organization’s Mailing Address 7681 COLONIAL BEACH RD
City PASADENA
State MD
ZIP 21122
Accounting period End 12
Primary contact name JOEL NORFLEET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYLAN NORFLEET
PRESIDENT , CEO
7681 COLONIAL BEACH RD
PASADENA MD 21122

Officer/Director/Trustee Two

SHANTIAH MOORE-NORFLEET
VICE PRESIDENT , SECRETARY
7681 COLONIAL BEACH RD
PASADENA MD 21122

Officer/Director/Trustee Three

JOEL NORFLEET
TREASURER
7681 COLONIAL BEACH ROAD
PASADENA MD 21122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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