FORM 1023-EZ for DENTAL HEARTS

Field Data
EIN 84-3574708
Case Number EO-2019311-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DENTAL HEARTS
Organization’s Mailing Address 12320 N 32ND STREET SUITE 2
City PHOENIX
State AZ
ZIP 85032
Accounting period End 12
Primary contact name SCOTT LAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT LAUER
CEO
12320 N 32ND STREET SUITE 2
PHOENIX AZ 85032

Officer/Director/Trustee Two

MEHRDAD MEHRANFAR
DIRECTOR
12320 N 32ND STREET SUITE 2
PHOENIX AZ 85032

Organization’s website
Organization’s email SCOTTLAUER@ME.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
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 No
Correctness Declaration Yes
Signature Name SCOTT LAUER
Signature Title CEO
Signature Date 11/5/19

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