FORM 1023-EZ for SPECIAL SMILES FOUNDATION INC

Field Data
EIN 84-3488489
Case Number EO-2019305-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIAL SMILES FOUNDATION INC
Organization’s Mailing Address 50 FOUNTAIN PLAZA SUITE 1700
City BUFFALO
State NY
ZIP 14202
Accounting period End 12
Primary contact name LAUREN SUTTELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH LICATA
PRESIDENT
1800 MAPLE ROAD
WILLIAMSVILLE NY 14221

Officer/Director/Trustee Two

LINDA BALKIN
VICE PRESIDENT
259 WELLINGWOOD DRIVE
EAST AMHERST NY 14051

Officer/Director/Trustee Three

LAUREN SUTTELL
SECRETARY & TREASURER
50 FOUNTAIN PLAZA SUITE 1700
BUFFALO NY 14202

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 LAUREN SUTTELL
Signature Title SECRETARY & TREASURER
Signature Date 10/30/19

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