FORM 1023-EZ for THE GIVING SMILE INC

Field Data
EIN 83-0801577
Case Number EO-2018208-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GIVING SMILE INC
Organization’s Mailing Address 204 NORTH MAPLE ST
City PITTSBORO
State IN
ZIP 46167
Accounting period End 12
Primary contact name DAVID HEATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUDRI HEATH
PRESIDENT
665 HALLECK WAY
INDIANAPOLIS IN 46234

Officer/Director/Trustee Two

DAVID HEATH
DIRECTOR TREASURER AND SECRETARY
665 HALLECK WAY
INDIANAPOLIS IN 46234

Officer/Director/Trustee Three

MARCIA NEDROSCIK
DIRECTOR
633 EAST EDGEWOOD DR
DANVILLE IN 46122

Officer/Director/Trustee Four

SUSAN MARTIN
DIRECTOR
5651 HAMMON DR
BROWNSBURG IN 46112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 DAVID HEATH
Signature Title DIRECTOR TREASURER AND SECRETARY
Signature Date 7/25/18

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