FORM 1023-EZ for ORAL HEALTH AWARENESS SOCIETY

Field Data
EIN 47-3055577
Case Number EO-2015078-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORAL HEALTH AWARENESS SOCIETY
Organization’s Mailing Address 1801 H STREET APARTMENT 5
City SACRAMENTO
State CA
ZIP 95811
Accounting period End 12
Primary contact name KATHERINE CONKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE CONKLIN
PRESIDENT
1801 H STREET APT 5
SACRAMENTO CA 95811

Officer/Director/Trustee Two

MARITZA MENDEZ
VICE PRESIDENT
647 APPLEWOOD DRIVE
LODI CA 95242

Officer/Director/Trustee Three

ELENA FRANCISCO
CHIEF FINANCIAL OFFICER
16515 CARROLTON ROAD
ESCALON CA 95320

Officer/Director/Trustee Four

JANELLE URATA
SECRETARY
8030 LA MESA BLVD 126
LA MESA CA 91924

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2015
Organization Incorporation State CA
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: 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 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
Signature Title
Signature Date

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