FORM 1023-EZ for SMILE ON ME INC

Field Data
EIN 30-1242513
Case Number EO-2020258-000510
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMILE ON ME INC
Organization’s Mailing Address 8208 135TH STREET APT 5M
City JAMAICA
State NY
ZIP 11435
Accounting period End 12
Primary contact name ANDREA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA THOMAS
FOUNDER/DIRECTOR/PRESIDENT
8208 135TH STREET APT 5M
JAMAICA NY 11435

Officer/Director/Trustee Two

KEITH NEWTON
TREASURER
8208 135TH STREET APT 5M
JAMAICA NY 11435

Officer/Director/Trustee Three

TIFFANY PEREZ
DIRECTOR
307 WEST 43RD ST APT 7A
NEW YORK NY 10036

Officer/Director/Trustee Four

SHANITRA LOCKETT
SECRETARY
15 BANK ST APT 101A
WHITE PLAINS NY 10606

Organization’s website
Organization’s email DRETHOMAS@SMILEONME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2020
Organization Incorporation State NY
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 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 ANDREA THOMAS
Signature Title FOUNDER/DIRECTOR/PRESIDENT
Signature Date 9/11/2020

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