FORM 1023-EZ for SMILES FOR LYMPHOMA INC

Field Data
EIN 47-3615135
Case Number EO-2015203-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMILES FOR LYMPHOMA INC
Organization’s Mailing Address 12101 BEE CAVE ROAD STE 5H
City AUSTIN
State TX
ZIP 78738
Accounting period End 12
Primary contact name STEVEN HAASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN HAASE
DIRECTOR
12101 BEE CAVE SUITE 5H
AUSTIN TX 78738

Officer/Director/Trustee Two

MORGAN BABBINI
DIRECTOR
12101 BEE CAVE SUITE 5H
AUSTIN TX 78738

Officer/Director/Trustee Three

MARY HAASE
DIRECTOR
12101 BEE CAVE SUITE 5H
AUSTIN TX 78738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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