I couldn't find specific information on a U.S. nonprofit organization named "Create A Smile" with the EIN 800946451 and the website createsmiles.org. However, there are similar organizations with the name "Create-A-Smile" or "Make-A-Smile" that provide community support. Here is a general overview based on that information:

Create-A-Smile

Create-A-Smile is a foundation that typically focuses on providing support to individuals and families affected by tragedy, violence, and misfortune, with a particular emphasis on helping children. The foundation is often sponsored by local firefighter associations and operates by bridging the gap between donors and those in need within the community.

Mission

The mission of such foundations is to provide immediate support to victims and their families, recognizing that official agencies may not always meet the immediate needs following a traumatic event. They aim to create smiles by improving the lives of those in need, often through donations of toys, resources, and funds for various community projects.

Activities

Create-A-Smile organizations engage in several activities to achieve their goals:

• Community Support: They support local charities and community projects aimed at helping children and families.
• Fundraising: Funds are raised through donations from the public and partnerships with local businesses and organizations.
• Partnerships: Collaborations with other charities and community groups help expand their reach and impact.

Similar Organizations

There are other organizations with similar names, such as "Make-A-Smile," which focus on rebuilding community spaces like parks and playgrounds affected by natural disasters. These organizations also work towards providing relief and improving living conditions for affected communities.

[1] https://www.redwoodcity.org/departments/fire-department/create-a-smile [2] http://www.naawsonline.org/make-a-smile.html [3] https://www.makeasmilefoundation.com [4] https://make-a-smile.org [5] https://www.mountainviewfirefighters.com/create-a-smile-charity-fund