FORM 1023-EZ for SMILES FOR MILES

Field Data
EIN 84-2587026
Case Number EO-2019217-000312
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMILES FOR MILES
Organization’s Mailing Address 8337 WEST CAROL AVENUE
City PEORIA
State AZ
ZIP 85345
Accounting period End 12
Primary contact name JANNA MORTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANNA MORTENSEN
EXECUTIVE DIRECTOR
8337 W CAROL AVE
PEORIA AZ 85345-7115

Officer/Director/Trustee Two

CLAYTON MORTENSEN
DIRECTOR
8337 W CAROL AVE
PEORIA AZ 85345-7115

Officer/Director/Trustee Three

KATIE KERGER
DIRECTOR
8337 W CAROL AVE
PEORIA AZ 85345-7115

Officer/Director/Trustee Four

NA NA
NA
NA
NA AZ 85345

Officer/Director/Trustee Five

NA NA
NA
NA
NA AZ 85345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 JANNA MORTENSEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/1/19

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