FORM 1023-EZ for A SMILE A DAY

Field Data
EIN 47-3072122
Case Number EO-2015051-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A SMILE A DAY
Organization’s Mailing Address 372 E 20TH ST APT B
City COSTA MESA
State CA
ZIP 92627
Accounting period End 12
Primary contact name ALMA GUTIERREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALMA GUTIERREZ
PRESIDENT, DIRECTOR
372 E 20TH ST APT B
COSTA MESA CA 92627

Officer/Director/Trustee Two

JOSE GUTIERREZ
SECRETARY, DIRECTOR
2240 RUTGERS DR APT A
COSTA MESA CA 92627

Officer/Director/Trustee Three

ADRIAN GUTIERREZ
TREASURER, DIRECTOR
2240 RUTGERS DR APT A
COSTA MESA CA 92627

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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