FORM 1023-EZ for SMASH INC - SOCIAL MENTAL AND SEXUAL HEALTH INCORPORATED

Field Data
EIN 84-3737524
Case Number EO-2020055-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMASH INC - SOCIAL MENTAL AND SEXUAL HEALTH INCORPORATED
Organization’s Mailing Address 9814 S PROTECTION RD
City HOLLAND
State NY
ZIP 14080-9529
Accounting period End 12
Primary contact name SARAH H SMITH PHD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH SMITH
CHIEF EXECUTIVE OFFICER
9814 S PROTECTION ROAD
HOLLAND NY 14080-9299

Officer/Director/Trustee Two

SHANISE HALL ANDERSON
CHAIRPERSON
290 PURDY STREET
BUFFALO NY 14208

Officer/Director/Trustee Three

EMILY WALDRON
CLERK
94 CROSBY AVENUE
KENMORE NY 14217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
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 SARAH SMITH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/20/2020

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