FORM 1023-EZ for SMILE ON SENIORS
| Field | Data |
|---|---|
| EIN | 82-3416485 |
| Case Number | EO-2020247-000188 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SMILE ON SENIORS |
| Organization’s Mailing Address | 24205 SE BLACK NUGGET RD |
| City | ISSAQUAH |
| State | WA |
| ZIP | 98029 |
| Accounting period End | 12 |
| Primary contact name | SHALOM D FARKASH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHALOM D FARKASH
DIRECTOR, PRESIDENT
24205 SE BLACK NUGGET RD
ISSAQUAH WA 98029
Officer/Director/Trustee Two
LEVI FRIEDMAN
DIRECTOR
10031 SW 15TH TERRACE
MIAMI FL 33174
Officer/Director/Trustee Three
MOSHE L GREY
DIRECTOR
22A SCHOOL ST
HANOVER NH 03755
Officer/Director/Trustee Four
YOSEF BENSIMON
DIRECTOR
10 TAMPA CT
BROOKLYN NY 11225
Officer/Director/Trustee Five
NECHAMA ZAJAC
SECRETARY, TREASURER
24205 SE BLACK NUGGET RD
ISSAQUAH WA 98029
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/13/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P81 - Senior Centers, 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SHALOM D FARKASH |
| Signature Title | DIRECTOR, PRESIDENT |
| Signature Date | 9/1/2020 |
| EIN | 82-3416485 |
| Case Number | EO-2017328-000422 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SMILE ON SENIORS |
| Organization’s Mailing Address | 24205 SE BLACK NUGGET RD |
| City | ISSAQUAH |
| State | WA |
| ZIP | 98029 |
| Accounting period End | 12 |
| Primary contact name | SHALOM D FARKASH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHALOM D FARKASH
DIRECTOR, PRESIDENT
24205 SE BLACK NUGGET RD
ISSAQUAH
Officer/Director/Trustee Two
LEVI FRIEDMAN
DIRECTOR
10031 SW 15TH TER
MIAMI FL 33174-2865
Officer/Director/Trustee Three
MOSHE L GREY
DIRECTOR
22A SCHOOL ST
HANOVER NH 03755
Officer/Director/Trustee Four
YOSEF BENSIMON
DIRECTOR
10 TAMPA CT
BROOKLYN NY 11225
Officer/Director/Trustee Five
CHANA TRAXLER
DIRECTOR, TREASURER, SECRETARY
1125 NE LILAC ST
ISSAQUAH WA 98029
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/13/2017 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P44 - Homemaker, Home Health Aide |
| 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 | 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 | 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 | |
| Signature Title | |
| Signature Date |
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