FORM 1023-EZ for SENSIBLE SUPER SMILES

Field Data
EIN 83-2088152
Case Number EO-2018325-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENSIBLE SUPER SMILES
Organization’s Mailing Address 45 DERBY ST
City CONCORD
State MA
ZIP 1742
Accounting period End 12
Primary contact name MATTHEW ANNESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ANNESE
DIRECTOR/PRESIDENT
45 DERBY ST
CONCORD MA 1742

Officer/Director/Trustee Two

GREG WU
DIRECTOR
45 DERBY ST
CONCORD MA 1742

Officer/Director/Trustee Three

BRIAN TING
DIRECTOR
45 DERBY ST
CONCORD MA 1742

Officer/Director/Trustee Four

ALLISON ANNESE
SECRETARY/TREASURER
45 DERBY ST
CONCORD MA 1742

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State MA
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 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 MATTHEW ANNESE
Signature Title DIRECTOR/PRESIDENT
Signature Date 11/19/18

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