FORM 1023-EZ for SERVING SMILES INC

Field Data
EIN 38-4100062
Case Number EO-2019050-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVING SMILES INC
Organization’s Mailing Address 1691 MICHIGAN AVENUE STE 360
City MIAMI BEACH
State FL
ZIP 33139
Accounting period End 12
Primary contact name ERIC JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA JACOBS
DIRECTOR
1691 MICHIGAN AVE STE 360
MIAMI BEACH FL 33139

Officer/Director/Trustee Two

ERIC JACOBS
DIRECTOR
1691 MICHIGAN AVENUE STE 360
MIAMI BEACH FL 33139

Officer/Director/Trustee Three

NICOLE JACOBS
DIRECTOR
1691 MICHIGAN AVENUE STE 360
MIAMI BEACH FL 33139

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ERIC JACOBS
Signature Title DIRECTOR
Signature Date 2/14/19

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