FORM 1023-EZ for DMV DENTAL PROJECT

Field Data
EIN 83-2855821
Case Number EO-2019073-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DMV DENTAL PROJECT
Organization’s Mailing Address 1350 CONNECTICUT AVENUE SUITE 305
City WASHINGTON
State DC
ZIP 20036
Accounting period End 12
Primary contact name DOCTOR BRIAN C DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DAVIS
PRESIDENT
1350 CONNECTICUT AVENUE NW SUITE 30
WASHINGTON DC 20036

Officer/Director/Trustee Two

WAYNE MOORE
VICE PRESIDENT
10108 VISTA ALEGRE COURT
BOWIE MD 20721

Officer/Director/Trustee Three

MAURY BRANCH III
SECRETARY
4018 GEORGIA AVENE NW
WASHINGTON DC 20011

Officer/Director/Trustee Four

MELVIN STALLINGS
TREASURER
12138 CENTRAL AVENUE SUITE 949
BOWIE MD 20721

Organization’s website WWW.DMVDENTALPROJECT.ORG
Organization’s email INFO@DMVDENTALPROJECT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/19
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 BRIAN DAVIS
Signature Title PRESIDENT
Signature Date 3/12/19

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