FORM 1023-EZ for ANNIE SMILES

Field Data
EIN 82-4225683
Case Number EO-2018304-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANNIE SMILES
Organization’s Mailing Address 247 MAPLE AVE
City PHILIPPI
State WV
ZIP 26416
Accounting period End 12
Primary contact name DAVID ROWAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID ROWAN
DIRECTOR OF OPERATIONS
247 MAPLE AVE
PHILIPPI WV 26416

Officer/Director/Trustee Two

PAULETTE ROWAN
PRESIDENT
247 MAPLE AVE
PHILIPPI WV 26416

Officer/Director/Trustee Three

TERESA MOSS
VICE PRESIDENT
472 SILENT GROVE ROAD
PHILIPPI WV 26416

Officer/Director/Trustee Four

DEBIE STEWART
VICE PRESIDENT
79 BEECH AVENUE
PHILIPPI WV 26416

Officer/Director/Trustee Five

AMANDA NUTTER
FINANCE OFFICER
904 GRANDVIEW AVENUE
NEW MATAMORAS OH 45767

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/16
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DAVID ROWAN
Signature Title DIRECTOR OF OPERATIONS
Signature Date 10/29/18

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