FORM 1023-EZ for ISAACS SMILES

Field Data
EIN 84-2613720
Case Number EO-2019231-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISAACS SMILES
Organization’s Mailing Address 71
City ROYAL OAK
State MI
ZIP 48073-3350
Accounting period End 12
Primary contact name BENJAMIN ACHTENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN ACHTENBERG
DIRECTOR
717 ORCHARD VIEW DR
ROYAL OAK MI 48073-3350

Officer/Director/Trustee Two

LISBETH ACHTENBERG
DIRECTOR
717 ORCHARD VIEW DRIVE
ROYAL OAK MI 48073-3350

Officer/Director/Trustee Three

PATRICIA DEWALD
DIRECTOR
701 ORCHARD VIEW DRIVE
ROYAL OAK MI 48073-3350

Officer/Director/Trustee Four

ASHLEY MILLER
DIRECTOR
1067 BRAEMAR CT
HOWELL MI 48843

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 BENJAMIN ACHTENBERG
Signature Title DIRECTOR
Signature Date 8/15/19

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