FORM 1023-EZ for INTERNATIONAL SMILE POWER

Field Data
EIN 91-2010740
Case Number EO-2018262-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL SMILE POWER
Organization’s Mailing Address 704 228TH AVE NE 204
City SAMMAMISH
State WA
ZIP 98074
Accounting period End 12
Primary contact name REBECCA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA MILLER
SECRETARY
11298 ROPEMAKER ROAD
SOUTH JORDAN UT 84095

Officer/Director/Trustee Two

ELLEN REH
PRESIDENT
14950 SE ALLEN RD STE C
BELLEVUE WA 98006

Officer/Director/Trustee Three

JEFF ZENT
VP OF LOCAL OUTREACH
22510 SE 64TH PL STE 110
ISSAQUAH WA 98027

Officer/Director/Trustee Four

SUSAN EVANS
DIRECTOR OF CULTURAL EXCHANGE
25718 SE 31ST PL
SAMMAMISH WA 98075

Officer/Director/Trustee Five

PAULA KOOISTRA
TREASURURE
4020 167TH ST NW
STANWOOD WA 98212

Organization’s website SMILEPOWER.ORG
Organization’s email SMILEPOWER@SMILEPOWER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/01
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA MILLER
Signature Title SECRETARY
Signature Date 9/17/18

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