FORM 1023-EZ for TMJ RESEARCH FOUNDATION

Field Data
EIN 81-4512130
Case Number EO-2017093-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TMJ RESEARCH FOUNDATION
Organization’s Mailing Address 757 ARTHUR GODFREY ROAD
City MIAMI BEACH
State FL
ZIP 33140
Accounting period End 12
Primary contact name HAMID NASSERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAMID NASSARY
CHAIRMAN OF THE BOARD
757 ARTHUR GODFREY ROAD
MIAMI BEACH FL 33140

Officer/Director/Trustee Two

JAVIER VASQUEZ
PRESIDENT
757 ARTHUR GODFREY ROAD
MIAMI BEACH FL 33140

Officer/Director/Trustee Three

ROBERT MURDOCCO
SECRETARY TREASURER
757 ARTHUR GODFREY ROAD
MIAMI BEACH FL 33140

Organization’s website
Organization’s email DR.NASSERY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2016
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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