FORM 1023-EZ for SMART SURFACES COALITION

Field Data
EIN 83-3274838
Case Number EO-2019039-000545
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMART SURFACES COALITION
Organization’s Mailing Address 6109 32ND PLACE NW
City WASHINGTON
State DC
ZIP 20015
Accounting period End 12
Primary contact name SHALLON HARTKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG KATS
CEO
6109 32ND PLACE NW
WASHINGTON DC 20015

Officer/Director/Trustee Two

FRANK LOY
CHAIRMAN
3230 RESERVOIR ROAD
WASHINGTON DC 20007

Officer/Director/Trustee Three

S JACOB SCHERR
DIRECTOR
3808 GARFIELD STREET NW
WASHINGTON DC 20007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C01 - Alliance/Advocacy Organizations
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 Yes
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 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 GREG KATS
Signature Title CEO
Signature Date 2/4/19

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