FORM 1023-EZ for STARTS WITH A SMILE INC

Field Data
EIN 82-2259533
Case Number EO-2017263-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STARTS WITH A SMILE INC
Organization’s Mailing Address 4 WOODFIELD ROAD
City ACTON
State MA
ZIP 01720
Accounting period End 3
Primary contact name ABIGAIL CHERNIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABIGAIL CHERNIN
CEO
4 WOODFIELD ROAD
ACTON MA 01720

Officer/Director/Trustee Two

JAMES AMBROSOLI
PRESIDENT
17 PROSPECT ROAD
ACTON MA 01720

Officer/Director/Trustee Three

SHAMIKA NAIDU
CLERK
5 NATHAN PRATT DRIVE UNIT 307
CONCORD MA 01742

Officer/Director/Trustee Four

AARON CHERNIN
COMMUNITY OUTREACH COORDINATOR
4 WOODFIELD ROAD
ACTON MA 01720

Officer/Director/Trustee Five

CHRISTIAN PUZO
TREASURER
44 POMEWORTH STREET
STONEHAM MA 02180

Organization’s website STARTSWITHASMILE.ORG
Organization’s email STARTSWITHASMILE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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