FORM 1023-EZ for TONY MOCNY SMILE FOUNDATION INC

Field Data
EIN 85-3360295
Case Number EO-2020309-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TONY MOCNY SMILE FOUNDATION INC
Organization’s Mailing Address 5401 HANCOCK ROAD
City SOUTHWEST RANCHES
State FL
ZIP 33330
Accounting period End 12
Primary contact name LARRY RICE 954-233-1767
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK STEVENS
PRESIDENT - DIRECTOR
5401 HANCOCK ROAD
SOUTHWEST RANCHES FL 33330

Officer/Director/Trustee Two

YOSNADI SAAVEDRA
VICE PRESIDENT - DIRECTOR
5401 HANCOCK ROAD
SOUTHWEST RANCHES FL 33330

Officer/Director/Trustee Three

RHONDA GILBERT
SECRETARY - DIRECTOR
5171 SW 136TH AVENUE
SOUTHWEST RANCHES FL 33330

Officer/Director/Trustee Four

PATRICIA SWEISBERGER
TREASURER - DIRECTOR
1245 NE 96TH STREET
MIAMI SHORES FL 33138

Officer/Director/Trustee Five

RODNEY ESPINOSA
DIRECTOR
5380 THOROUGHBRED LANE
SOUTHWEST RANCHES FL 33330

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 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 MARK STEVENS
Signature Title PRESIDENT - DIRECTOR
Signature Date 11/2/2020

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