FORM 1023-EZ for CREATE SMILES INC

Field Data
EIN 85-2766773
Case Number EO-2021064-001518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATE SMILES INC
Organization’s Mailing Address 3820 TALLGRASS PRAIRIE LANE 4203
City FORT WORTH
State TX
ZIP 76105
Accounting period End 12
Primary contact name DANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA SEARS
PRESIDENT
3820 TALLGRASS PRAIRIE LN 4203
FORT WORTH TX 76105

Officer/Director/Trustee Two

ANDREW MASON
TREASURE
3820 TALLGRASS PRAIRIE LANE 4203
FORT WORTH TX 76105

Officer/Director/Trustee Three

MYLES PATRICK SEARS
VICE PRESIDENT
3820 TALLGRASS PRAIRIE LANE 4203
FORT WORTH TX 76105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 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 DANA SEARS
Signature Title PRESIDENT
Signature Date 1/12/2021

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