FORM 1023-EZ for PATERSON SMILES

Field Data
EIN 84-3086360
Case Number EO-2021207-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATERSON SMILES
Organization’s Mailing Address 100 ARLINGTON AVE
City PATERSON
State NJ
ZIP 07502
Accounting period End 12
Primary contact name ASHLEY BACOTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AZIZ JOHNSON
PRESIDENT
100 ARLINGTON AVE
PATERSON NJ 07502

Officer/Director/Trustee Two

SHAVONNAH MOSS
TREASURER
68 ARTHUR ST
CLIFTON NJ 07011

Officer/Director/Trustee Three

ASHLEY BACOTE
SECRETARY
100 ARLINGTON AVE
PATERSON NJ 07502

Officer/Director/Trustee Four

TIARA BROWN
DIRECTOR
49 PRINCE ST 1A
PATERSON NJ 07505

Officer/Director/Trustee Five

DAMYRA PRICE
DIRECTOR
283 ELEBRON AVE
PATERSON NJ 07502

Organization’s website
Organization’s email SMILEPATERSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ASHLEY BACOTE
Signature Title SECRETARY
Signature Date 7/22/2021

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