FORM 1023-EZ for SMILES ACROSS BORDERS
| Field | Data |
|---|---|
| EIN | 83-3064166 |
| Case Number | EO-2019035-000308 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SMILES ACROSS BORDERS |
| Organization’s Mailing Address | 2325 6TH AVE |
| City | SCOTTSBLUFF |
| State | NE |
| ZIP | 69361 |
| Accounting period End | 12 |
| Primary contact name | JACOB ZITTERKOPF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACOB ZITTERKOPF DDS MSD
PRESIDENT
14770 ORCHARD PARKWAY UNIT 243
WESTMINSTER CO 80023
Officer/Director/Trustee Two
JACQUELYN SCHORLING DC
VICE PRESIDENT
1912 HILLSIDE PL
WINDSOR CO 80550
Officer/Director/Trustee Three
NICHOLAS BRENING MD
SECRETARY
520 E 650 S
OREM UT 84097
Officer/Director/Trustee Four
WILLIAM ZITTERKOPF PHD
TREASURER
2325 6TH AVE
SCOTTSBLUFF NE 69361
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/8/19 |
| Organization Incorporation State | NE |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion 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 | 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 | JACOB ZITTERKOPF DDS MSD |
| Signature Title | PRESIDENT |
| Signature Date | 1/9/19 |
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