FORM 1023-EZ for A THOUSAND SMILES INC

Field Data
EIN 84-2267256
Case Number EO-2019199-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A THOUSAND SMILES INC
Organization’s Mailing Address 6971 NW 51ST STREET
City MIAMI
State FL
ZIP 33166
Accounting period End 12
Primary contact name PIERRE SALIBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANAIS RIVIERE
PRESIDENT
6971 NW 51SR ST
MIAMI FL 33166

Officer/Director/Trustee Two

PATRICIA RIVIERE
TRESURER
6971 NW 51 ST
MIAMI FL 33166

Officer/Director/Trustee Three

CHLOE BONNEFIL
SECRETARY
5060 NW 112TH CT
MIAMI FL 33178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 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 ANAIS RIVIERE
Signature Title PRESIDENT
Signature Date 7/16/19

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