FORM 1023-EZ for DOCTORS DELIVERING SMILES
| Field | Data |
|---|---|
| EIN | 83-4248203 |
| Case Number | EO-2019102-000187 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DOCTORS DELIVERING SMILES |
| Organization’s Mailing Address | 1281 E WILLOW SPRINGS CIRCLE |
| City | ALPINE |
| State | UT |
| ZIP | 84004-1790 |
| Accounting period End | 12 |
| Primary contact name | PATRICE YOUNG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PETER BANKS DDS
BOARD OF DIRECTORS - PRESIDENT
181 W CENTER STREET
KANAB UT 84741-3147
Officer/Director/Trustee Two
JEFFREY GIFFORD DMD
BOARD OF DIRECTORS - VICE PRESIDENT
112 6TH AVENUE/PO BOX 1956
PAGE AZ 86040-1956
Officer/Director/Trustee Three
PATRICE YOUNG RN
BOARD OF DIRECTORS - SEC/TREAS
1281 E WILLOW SPRINGS CIRCLE
ALPINE UT 84004-1790
| Organization’s website | DOCTORSDELIVERINGSMILES.COM |
|---|---|
| Organization’s email | DOCTORSDELIVERINGSMILES@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/2/19 |
| Organization Incorporation State | UT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | 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 | PATRICE YOUNG RN |
| Signature Title | BOARD OF DIRECTORS - SEC/TREAS |
| Signature Date | 4/10/19 |
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