FORM 1023-EZ for CARROLL COUNTY DENTAL SOCIETY

Field Data
EIN 52-1497155
Case Number EO-2019176-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARROLL COUNTY DENTAL SOCIETY
Organization’s Mailing Address 20 S CENTER ST
City WESTMINSTER
State MD
ZIP 21157
Accounting period End 6
Primary contact name LYNDSAY KUZMAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDSAY KUZMAK
TRUSTEE
20 S CENTER ST
WESTMINSTER MD 21157

Officer/Director/Trustee Two

JARED SELTZER
PRESIDENT
412 MALCOLM DR
WESTMINSTER MD 21157

Officer/Director/Trustee Three

RUDOLPH KLIMA
TREASURER
4519 LOWER BECKLEYSVILLE RD
WESTMINSTER MD 21157

Organization’s website
Organization’s email CARROLLCOUNTYDENTALSOCIETY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/87
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNDSAY KUZMAK
Signature Title TRUSTEE
Signature Date 6/20/19

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