FORM 1023-EZ for ONE SMILE AT A TIME

Field Data
EIN 84-4701508
Case Number EO-2020045-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE SMILE AT A TIME
Organization’s Mailing Address 4367 50THH STREET SUITE 10
City SAN DIEGO
State CA
ZIP 92115
Accounting period End 12
Primary contact name RASHAD ABDUL RAHIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RASHAD ABDUL RAHIM
CEO
4367 50THH STREET SUITE 10
SAN DIEGO CA 92115

Officer/Director/Trustee Two

PHARAOH MITCHELL
SECRETARY
4367 50THH STREET SUITE 10
SAN DIEGO CA 92115

Officer/Director/Trustee Three

MARY STEVENS
TRUSTEES
4367 50THH STREET SUITE 10
SAN DIEGO CA 92115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 RASHAD ABDUL RAHIM
Signature Title CEO
Signature Date 2/12/2020

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