FORM 1023-EZ for YOSHIS SMILE INC

Field Data
EIN 84-4222822
Case Number EO-2020083-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOSHIS SMILE INC
Organization’s Mailing Address 696 E 320 S
City SALEM
State UT
ZIP 84653
Accounting period End 12
Primary contact name ASHLEY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY HENDERSON
DIRECTOR
696 E 320 S
SALEM UT 84653

Officer/Director/Trustee Two

DONNA GARRETT
DIRECTOR
110 N 500 E
SALEM UT 84653

Officer/Director/Trustee Three

MICHAEL SIDMAN
DIRECTOR
677 E 200 S
SPANISH FORK UT 84660

Officer/Director/Trustee Four

ASHLEY SMITH
ATTORNEY, REGISTERED AGENT
68 S MAIN ST SUITE 200
SALT LAKE CITY UT 84101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
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 ASHLEY SMITH
Signature Title ATTORNEY, REGISTERED AGENT
Signature Date 3/20/2020

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