FORM 1023-EZ for SAVANNAH SMILES FOUNDATION INC

Field Data
EIN 85-1386096
Case Number EO-2020196-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVANNAH SMILES FOUNDATION INC
Organization’s Mailing Address 1746 NORTH AUDUBON DR
City NEW ALBANY
State IN
ZIP 47150
Accounting period End 12
Primary contact name GARRETH STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRETH STEPHENS
CEO
1746 NORTH AUDUBON DR
NEW ALBANY IN 47150

Officer/Director/Trustee Two

JENNIFER ARNOLD-BRAZELL
PRESIDENT
1751 N AUDUBON DR
NEW ALBANY IN 47150

Officer/Director/Trustee Three

HEATHER CANTER
SECRETARY
11547 VALLEY FORGE
SELLERSBURG IN 47172

Officer/Director/Trustee Four

TREVOR KRUER
BOARD MEMBER
216 CONNER ST
NEW ALBANY IN 47150

Officer/Director/Trustee Five

MARY ARNOLD
BOARD MEMBER
1909 PLUM HILL CT
FLOYD KNOBS IN 47119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 GARRETH STEPHENS
Signature Title CEO
Signature Date 6/11/2020

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