| Field | Data |
|---|---|
| EIN | 83-2674071 |
| Case Number | EO-2019030-001089 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JACKSONVILLE DENTAL SOCIETY FOUNDATION INC |
| Organization’s Mailing Address | 2950 HALYCON LANE STE 301C |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32223 |
| Accounting period End | 3 |
| Primary contact name | GRADY JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BETHANY DOUGLAS
DIRECTOR & PRESIDENT
2950 HAYLCON LANE STE 301C
JACKSONVILLE FL 32223
MILLIE TANNEN
DIRECTOR & VICE PRESIDENT
2950 HAYLCON LANE STE 301C
JACKSONVILLE FL 32223
GRADY JOHNSON
DIRECTOR & TREASURER
2950 HAYLCON LANE STE 301C
JACKSONVILLE FL 32223
PATRICK WEAVER
DIRECTOR & SECRETARY
2950 HAYLCON LANE STE 301C
JACKSONVILLE FL 32223
SAMIRA MEYMAND
DIRECTOR
2950 HAYLCON LANE STE 301C
JACKSONVILLE FL 32223
| Organization’s website | |
|---|---|
| Organization’s email | JAXDENTALSOCIETY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/29/18 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | GRADY JOHNSON |
| Signature Title | DIRECTOR & TREASURER |
| Signature Date | 12/31/18 |
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