FORM 1023-EZ for PAN TENNESSEE DENTAL EDUCATION FOUNDATION

Field Data
EIN 75-3153454
Case Number EO-2019039-000778
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAN TENNESSEE DENTAL EDUCATION FOUNDATION
Organization’s Mailing Address 577 EAST RAINES ROAD
City MEMPHIS
State TN
ZIP 38109
Accounting period End 12
Primary contact name DR JOYCE FRANKLIN FRESHWATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM SMILEY
PRESIDENT
2026 CLIFTON AVENUE
NASHVILLE TN 37203

Officer/Director/Trustee Two

DARRYL JONES
VICE PRESIDENT
4646 POPLAR AVENUE
MEMPHIS TN 38117

Officer/Director/Trustee Three

BOBBIE SMITH
EXECUTIVE SECRETARY
3926 GALLATIN ROAD STE A
NASHVILLE TN 37216

Officer/Director/Trustee Four

ANGELA DAVIS
RECORDING SECRETARY
306 NORTH 6TH STREET
WEST MEMPHIS AK 72301

Officer/Director/Trustee Five

JOYCE F FRESHWATER
TREASURER
577 EAST RAINES ROAD
MEMPHIS TN 38109

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/35
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JOYCE F FRESHWATER
Signature Title TREASURER
Signature Date 2/5/19

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