FORM 1023-EZ for FIFTY SMILES

Field Data
EIN 86-3674778
Case Number EO-2021127-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIFTY SMILES
Organization’s Mailing Address 6 BEL AIRE DRIVE
City SPRINGFIELD
State IL
ZIP 62703
Accounting period End 12
Primary contact name DARRYL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL WILLIAMS
CHAIR
6 BEL AIRE DRIVE
SPRINGFIELD IL 62703

Officer/Director/Trustee Two

MAURICE RANKIN
VICE-CHAIR
5179 CABANNE AVE
ST. LOUIS MO 63113

Officer/Director/Trustee Three

JUSTIN COLEMAN
TREASURER
1824 S PERKINS COURT
SPRINGFIELD IL 62703

Officer/Director/Trustee Four

GLORIA WILLIAMS
SECRETARY
6 BEL AIRE DRIVE
SPRINGFIELD IL 62703

Organization’s website
Organization’s email FIFTYSMILES1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, 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 Yes
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 DARRYL WILLIAMS
Signature Title CHAIR
Signature Date 5/5/2021

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