FORM 1023-EZ for ARIS SMILE INC

Field Data
EIN 84-2628226
Case Number EO-2019310-000062
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARIS SMILE INC
Organization’s Mailing Address 1821B JO JOHNSTON AVENUE
City NASHVILLE
State TN
ZIP 37203
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA WORTHY
PRESIDENT/TREASURER/DIRECTOR
1821B JO JOHNSTON AVENUE
NASHVILLE TN 37203

Officer/Director/Trustee Two

ALAN WORTHY
SECRETARY/DIRECTOR
1821B JO JOHNSTON AVENUE
NASHVILLE TN 37203

Officer/Director/Trustee Three

JENNY YODER
DIRECTOR
1707 BOSCOBEL STREET
NASHVILLE TN 37206

Officer/Director/Trustee Four

CARA MEISSNER
DIRECTOR
1501 WINDING WAY RD
NASHVILLE TN 37216

Officer/Director/Trustee Five

WILLIAM FULLUM II
DIRECTOR
5719 BRENTWOOD MEADOWS CIRCLE
BRENTWOOD TN 37027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 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 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 TAMARA WORTHY
Signature Title PRESIDENT/TREASURER/DIRECTOR
Signature Date 11/4/19

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