FORM 1023-EZ for PROJECT SMILE OF MANATEE INC

Field Data
EIN 20-0124375
Case Number EO-2015181-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT SMILE OF MANATEE INC
Organization’s Mailing Address 1904 18TH STREET COURT EAST
City PALMETTO
State FL
ZIP 34221
Accounting period End 12
Primary contact name OLGA BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AVERY BURKE
PRESIDENT/CEO
932 49TH AVENUE E
BRADENTON FL 34203

Officer/Director/Trustee Two

OLGA BENNETT
VICE PRESIDENT-SEC./TRE.
1904 18TH STREET COURT EAST
PALMETTO FL 34221

Officer/Director/Trustee Three

KRISTEN PATE
VP-COMMUNITY ORGANIZER
1105 22ND AVE WE
PALMETTO FL 34221

Organization’s website
Organization’s email PROJECTSMILEOFMANATEEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2003
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G81 - AIDS
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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