FORM 1023-EZ for HOPE FOR A SMILE

Field Data
EIN 47-2481469
Case Number EO-2017248-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOPE FOR A SMILE
Organization’s Mailing Address 202 SOUTH BEND DR
City DURHAM
State NC
ZIP 27713
Accounting period End 12
Primary contact name ERIC HANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC HANSON
PRESIDENT, TREASURER
202 SOUTH BEND DR
DURHAM NC 27713

Officer/Director/Trustee Two

ESTHER HA
VICE PRESIDENT
202 SOUTH BEND DR
DURHAM NC 27713

Officer/Director/Trustee Three

JEAN HANSON
SECRETARY
600 STARTMONT DR
DURHAM NC 27713

Officer/Director/Trustee Four

PAULETTE JOLLY
OFFICER
PO BOX 822
MEBANE NC 27302

Officer/Director/Trustee Five

TODD GALINSKI
OFFICER
2710 WILSON LANE
RALEIGH NC 27608

Organization’s website WWW.HOPEFORASMILE.ORG
Organization’s email ERIC_HANSON@HOPEFORASMILE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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