FORM 1023-EZ for ANNETTE L AND MICHAEL S SMITH FAMILY FOUNDATION

Field Data
EIN 81-6506101
Case Number EO-2016133-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANNETTE L AND MICHAEL S SMITH FAMILY FOUNDATION
Organization’s Mailing Address 1063 HILLSBORO MILE APT 706
City HILLSBORO BEACH
State FL
ZIP 33062
Accounting period End 12
Primary contact name STEVEN A SCIARRETTA ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNETTE SMITH
TRUSTEE
1063 HILLSBORO MILE
HILLSBORO BEACH FL

Officer/Director/Trustee Two

MICHAEL SMITH
TRUSTEE
1063 HILLSBORO MILE
HILLSBORO BEACH FL

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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