FORM 1023-EZ for FAVERO SMILES

Field Data
EIN 83-0631000
Case Number EO-2018171-000358
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAVERO SMILES
Organization’s Mailing Address 17430 CRENSHAW BLVD SUITE A
City TORRANCE
State CA
ZIP 90504
Accounting period End 12
Primary contact name KHOURSCHID FAVERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KHOURSCHID FAVERO
DIRECTOR AND PRESIDENT
2922 KODIAK CIRCLE
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

STEPHEN BLAKE FAVERO
TREASURER AND SECRETARY
21209 PALOS VERDES BLVD
TORRANCE CA 90503

Officer/Director/Trustee Three

TIM TRAN
DIRECTOR
1202 N 10TH PL UNIT 1109
RENTON WA 98057

Officer/Director/Trustee Four

BENJAMIN THOMAS
DIRECTOR
36325 POPLAR DR
YUCAIPA CA 92399

Organization’s website
Organization’s email FAVEROSMILES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative 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 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 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 KHOURSCHID FAVERO
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/6/18

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