FORM 1023-EZ for GIVING SMILES INC

Field Data
EIN 83-2010117
Case Number EO-2018318-000022
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVING SMILES INC
Organization’s Mailing Address 128 BAYOU DRIVE
City NICEVILLE
State FL
ZIP 32578-2303
Accounting period End 12
Primary contact name LAURA PENTEL-KLANG ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA KOULISIS
PRESIDENT
128 BAYOU DRIVE
NICEVILLE FL 32578-2303

Officer/Director/Trustee Two

ALEXANDRA KOULISIS
VICE PRESIDENT
128 BAYOU DRIVE
NICEVILLE FL 32578-2303

Officer/Director/Trustee Three

NORA KRIST
SECRETARY/TREASURER
5 DERBY DOWNS
NICEVILLE FL 32578-2303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 MELISSA KOULISIS
Signature Title PRESIDENT
Signature Date 11/6/18

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