FORM 1023-EZ for COLORING FOR SMILES

Field Data
EIN 84-4200464
Case Number EO-2020015-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLORING FOR SMILES
Organization’s Mailing Address 1961 GRAND CENTRAL AVE UNIT G
City HORSEHEADS
State NY
ZIP 14845
Accounting period End 12
Primary contact name MARY JANEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC JENSEN
PRESIDENT
1961 GRAND CENTRAL AVE UNIT G
HORSEHEADS NY 14845-2960

Officer/Director/Trustee Two

MARY JANEK
EXECUTIVE DIRECTOR
316 CRIMSON CIR
CAMPBELL OH 44405-1278

Officer/Director/Trustee Three

JOHN WALSH
ASSOCIATE DIRECTOR
1303 STRAWBERRY LANE
BIG FLATS NY 14814-8953

Officer/Director/Trustee Four

JEREMY MINOR
SECRETARY-TREASURER
9150 STATE ROUTE 7
ROGERS OH 44455-9739

Organization’s website
Organization’s email COLORING4SMILES@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 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 MARY JANEK
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/13/2020

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