FORM 1023-EZ for DENTAL ANTHROPOLOGY ASSOCIATION

Field Data
EIN 82-5484137
Case Number EO-2018192-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DENTAL ANTHROPOLOGY ASSOCIATION
Organization’s Mailing Address 270 MILLETT 3640 COL GLENN HWY
City DAYTON
State OH
ZIP 45435
Accounting period End 12
Primary contact name DR AMELIA R HUBBARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMELIA HUBBARD
DR
270 MILLETT 3640 COL GLENN HWY
DAYTON OH 45435

Organization’s website HTTP://WWW.DENTALANTHROPOLOGY.ORG/
Organization’s email DENTALANTHASSOC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/18
Organization Incorporation State OH
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 No
Correctness Declaration Yes
Signature Name AMELIA HUBBARD
Signature Title DR
Signature Date 7/9/18

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