FORM 1023-EZ for THE BLIND SMILE

Field Data
EIN 83-1771615
Case Number EO-2018284-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BLIND SMILE
Organization’s Mailing Address P O BOX 512484
City LOS ANGELES
State CA
ZIP 90051
Accounting period End 12
Primary contact name ROSIE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSIE TAYLOR
PRESIDENT
1247 E 107TH ST
LOS ANGELES CA 90002

Officer/Director/Trustee Two

VALERIE JONES
VICE PRESIDENT
8655 BELFORD AVE UNIT 106
LOS ANGELES CA 90045

Officer/Director/Trustee Three

ARTILLAR WATTS
SECRETARY
419 W ALMOND ST UNIT 1
COMPTON CA 90220

Officer/Director/Trustee Four

LINDA WELCH
TREASURER
121 OLIVE AVE
UPLAND CA 91786

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 ROSIE TAYLOR
Signature Title PRESIDENT
Signature Date 10/9/18

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