FORM 1023-EZ for CARITAS SMILE

Field Data
EIN 46-0575629
Case Number EO-2017093-000439
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARITAS SMILE
Organization’s Mailing Address 1432 NARRAGANSETT BOULEVARD
City CRANSTON
State RI
ZIP 02905
Accounting period End 12
Primary contact name SIXCIA DEVINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIXCIA DEVINE
DIRECTOR
1432 NARRAGANSETT BOULEVARD
CRANSTON RI 02905

Officer/Director/Trustee Two

JOHN KRUPA
DIRECTOR
92 LONGVIEW DRIVE
CRANSTON RI 02920

Officer/Director/Trustee Three

ABRAHAM HENDERSON
DIRECTOR
93-95 CAROLINA AVENUE
PROVIDENCE RI 02905

Officer/Director/Trustee Four

SHELLY PERDOMO
DIRECTOR
60 NORTH WHITNEY STREET
AMHERST MA 01002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2012
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund 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 No
Conducting Activities Outside of United States Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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