FORM 1023-EZ for GRATEFUL SMILES FOUNDATION NFP

Field Data
EIN 85-2692768
Case Number EO-2020297-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRATEFUL SMILES FOUNDATION NFP
Organization’s Mailing Address 3303 W GRACE STREET
City CHICAGO
State IL
ZIP 60618
Accounting period End 12
Primary contact name TRACYE CAMPBELL-FOFIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACYE CAMPBELL-FOFIE
DIRECTOR
3303 W GRACE ST
CHICAGO IL 60618

Officer/Director/Trustee Two

PAMELA ENGO SENA
DIRECTOR
4109 BAYSIDE COURT APT 2D
ZION IL 60099

Officer/Director/Trustee Three

MONICA WOMACK
DIRECTOR
1683 COURTHOUSE RD
STAFFORD VA 22554

Officer/Director/Trustee Four

FRANCIS DJOUNDA-FIOFE
DIRECTOR
3303 GRACE ST
CHICAGO IL 60618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 TRACYE CAMPBELL-FOFIE
Signature Title DIRECTOR
Signature Date 10/21/2020

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