FORM 1023-EZ for AMARAS SMILE BILIARY ATRESIA AWARENESS

Field Data
EIN 47-4025329
Case Number EO-2015313-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMARAS SMILE BILIARY ATRESIA AWARENESS
Organization’s Mailing Address 3606 S CHEROKEE ST
City ENGLEWOOD
State CO
ZIP 80110
Accounting period End 5
Primary contact name NICHOLAS WISMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLAS WISMANN
PRESIDENT
3606 S CHEROKEE ST
ENGELWOOD CO 80110

Officer/Director/Trustee Two

ANGELICA ESPINOSA GASCA
VICE PRESIDENT
3606 S CHEROKEE ST
ENGLEWOOD CO 80110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2015
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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