FORM 1023-EZ for SMILE AWAY

Field Data
EIN 81-3842894
Case Number EO-2017048-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMILE AWAY
Organization’s Mailing Address 171 E IVY AVE
City GERVAIS
State OR
ZIP 97026
Accounting period End 12
Primary contact name RACHEL BOTTOMLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BOTTOMLEY
PRESIDENT
171 E IVY AVE
GERVAIS OR 97026

Officer/Director/Trustee Two

TRACY STEENERSON
SECRETARY
171 E IVY AVE
GERVAIS OR 97026

Officer/Director/Trustee Three

SAMUEL BOTTOMLEY
TREASURER
171 E IVY AVE
GERVAIS OR 97026

Officer/Director/Trustee Four

SARA HILL
MEMBER
171E IVY AVE
GERVAIS OR 97026

Organization’s website SMILEAWAY.ORG
Organization’s email SMILEAWAYCHILD@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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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