FORM 1023-EZ for SMILE 4 NEW LIFE FOUNDATION

Field Data
EIN 47-4959268
Case Number EO-2016298-000516
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMILE 4 NEW LIFE FOUNDATION
Organization’s Mailing Address 835 HERITAGE OAKS DR
City STONE MOUNTAIN
State GA
ZIP 30088
Accounting period End 12
Primary contact name SHARMELE WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARMELE WEST
PRESIDENT/FOUNDER
835 HERITAGE OAKS DR
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Two

DEJON BERMENT
VICE PRESIDENT
88 WOODROW AVE
DORCHESTER MA 02124

Officer/Director/Trustee Three

CARLTON WEST
CHAIRMAN
7400 NW 29TH ST
MARGATE FL 33063

Officer/Director/Trustee Four

DEJAH BERMENT
SECRETARY
835 HERITAGE OAKS DR
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Five

CRYSTAL SILVER
TREASURER
1704 TREE HILLS PKWY
STONE MOUNTAIN GA 30088

Organization’s website WWW.FACEBOOK.COM/SMILE4NEWLIFE
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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