FORM 1023-EZ for ORTHODONTIC ANGEL INC

Field Data
EIN 81-3115442
Case Number EO-2016204-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORTHODONTIC ANGEL INC
Organization’s Mailing Address 4 LONG SHOALS ROAD B195
City ARDEN
State NC
ZIP 28704
Accounting period End 12
Primary contact name HARRISON LOEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRISON LOEW
PRESIDENT
4 LONG SHOALS RD B195
ARDEN NC 28704

Officer/Director/Trustee Two

MARIA CHRISTINA LONG
TREASURER
16 BRIARCLIFF LANE
ASHEVILLE NC 28803

Officer/Director/Trustee Three

KATHERINE SOULE
SECRETARY
433 COOPERS HAWK DR
ASHEVILLE NC 28803

Officer/Director/Trustee Four

DAVID KINSER
OFFICER
87 WEST OAKVIEW RD
ASHEVILLE NC 28806

Organization’s website
Organization’s email HARRISON@ORTHODONTICANGELS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
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
Signature Title
Signature Date

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