FORM 1023-EZ for SMART VILLAGE

Field Data
EIN 82-4591843
Case Number EO-2018061-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMART VILLAGE
Organization’s Mailing Address C/O 8333 IOWA STREET SUITE 201
City DOWNEY
State CA
ZIP 90241
Accounting period End 12
Primary contact name ANJU MULTANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANIL SHAH
MD
8333 IOWA STREET
DOWNEY CA 90241

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANIL SHAH
Signature Title MD
Signature Date 2/28/18

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