FORM 1023-EZ for RECOVERED SMILES

Field Data
EIN 86-1622253
Case Number EO-2021085-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RECOVERED SMILES
Organization’s Mailing Address 28 BROOKCLIFF DR
City ASHEVILLE
State NC
ZIP 28804-1841
Accounting period End 12
Primary contact name JOHN BALEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BALEY
EXECUTIVE DIRECTOR
28 BROOKCLIFF DR
ASHEVILLE NC 28804-1841

Officer/Director/Trustee Two

CHRISTOPHER MILLER
CHIEF EXECUTIVE OFFICER
1421 SMOKEY PARK HIGHWAY
CANDLER NC 28715

Organization’s website https://www.recoveredsmiles.org
Organization’s email recoveredsmiles@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 JOHN BALEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/3/2021

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