FORM 1023-EZ for KARLAS SMILE OUTREACH MINISTRIES

Field Data
EIN 87-0940351
Case Number EO-2021189-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KARLAS SMILE OUTREACH MINISTRIES
Organization’s Mailing Address 8797 GRAPE WAGON CIRCLE
City SAN JOSE
State CA
ZIP 95135
Accounting period End 12
Primary contact name MOSIE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOSIE HILL
OFFICER
8797 GRAPE WAGON CIRCLE
SAN JOSE CA 95135

Officer/Director/Trustee Two

SARA HILL-BROOKS
DIRECTOR
8797 GRAPE WAGON CIRCLE
SAN JOSE CA 95135

Officer/Director/Trustee Three

ROBERT HILL
OFFICER
8797 GRAPE WAGON CIRCLE
SAN JOSE CA 95135

Officer/Director/Trustee Four

NADINE WATSON
OFFICER
4891 STONEYFORD COURT
SAN JOSE CA 95138

Officer/Director/Trustee Five

KAREN JAMES
FINANCIAL SECRETARY
125 ESFAHAN DRIVE
SAN JOSE CA 95111

Organization’s website
Organization’s email MOSIE.HILL@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 MOSIE HILL
Signature Title OFFICER
Signature Date 7/6/2021

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