FORM 1023-EZ for MILES OF SMILES DENTISTRY

Field Data
EIN 82-4983318
Case Number EO-2018137-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILES OF SMILES DENTISTRY
Organization’s Mailing Address 5621 LESLIE COURT
City FLINT
State MI
ZIP 48504
Accounting period End 7
Primary contact name RUDOLPH WHEATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUDOLPH WHEATON
EXECUTIVE DIRECTOR PRESIDENT
5621 LESLIE COURT
FLINT MI 48504

Officer/Director/Trustee Two

BRENDA KIMBLE
VICE PRESIDENT
619 ASHLEY CIRCLE
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Three

DANA DYSON
SECRETARY
2002 CAMBRIDGE AVE
FLINT MI 48503

Officer/Director/Trustee Four

DARYL DUNCAN
TREASURER
25225 WEST 7 MILE RD
REDFORD TWP MI 48240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/02
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RUDOLPH WHEATON
Signature Title EXECUTIVE DIRECTOR PRESIDENT
Signature Date 5/4/18

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