FORM 1023-EZ for SUCCESSFUL SMILES OF TEXAS

Field Data
EIN 47-5200652
Case Number EO-2015299-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUCCESSFUL SMILES OF TEXAS
Organization’s Mailing Address 2541 S IH 35 STE 200-140
City ROUND ROCK
State TX
ZIP 78664-7360
Accounting period End 6
Primary contact name ALETHEA FLORES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERTO RIVERA
VP/TREASURER
2103 HENRY STREET
COPPERAS COVE TX 76522

Officer/Director/Trustee Two

GLORIA PEREZ-FLORES
SECRETARY
823 TURTLE CREEK BLVD
AUSTIN TX 78745

Officer/Director/Trustee Three

ERIC NEUER
PRESIDENT
2541 S IH 35 STE 200-140
ROUND ROCK TX 78664

Officer/Director/Trustee Four

ALETHEA FLORES
AUTHORIZED AGENT
1310 GREEN TERRACE
ROUND ROCK TX 78664

Organization’s website WWW.SUCCESSFULSMILESOFTEXAS.ORG
Organization’s email INFO@SUCCESSFULSMILESOFTEXAS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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
Signature Title
Signature Date

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