FORM 1023-EZ for BRILLIANT SMILES FOUNDATION

Field Data
EIN 85-2262812
Case Number EO-2020216-000514
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRILLIANT SMILES FOUNDATION
Organization’s Mailing Address 1270 S ALFRED ST PMB 351971
City LOS ANGELES
State CA
ZIP 90035
Accounting period End 12
Primary contact name KRISTOPHER DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE TRAVIS
OFFICER/DIRECTOR
1270 S ALFRED ST PMB 351971
LOS ANGELES CA 90035

Officer/Director/Trustee Two

KRISTOPHER DOYLE
OFFICER/DIRECTOR
1270 S ALFRED ST PMB 351971
LOS ANGELES CA 90035

Organization’s website WWW.BRILLIANTSMILESFOUNDATION.ORG
Organization’s email INFO@BRILLIANTSMILESFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
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 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 KRISTOPHER DOYLE
Signature Title OFFICER/DIRECTOR
Signature Date 7/30/2020

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