FORM 1023-EZ for AMERICAN PRE-DENTAL ORGANIZATION

Field Data
EIN 81-2989139
Case Number EO-2018047-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN PRE-DENTAL ORGANIZATION
Organization’s Mailing Address 4465 UNIVERSITY DRIVE
City HOUSTON
State TX
ZIP 77024
Accounting period End 4
Primary contact name JULIANNE PHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMAR QADDOURA
PRESIDENT
7330 MEADOWCROFT BLVD
SUGAR LAND TX 77479

Officer/Director/Trustee Two

MARICSSA ROGEL
VICE PRESIDENT
12431 TEXACO RD
HOUSTON TX 77013

Officer/Director/Trustee Three

JULIANNE PHAN
ADVISOR
18207 CROSSLAND CT
CYPRESS TX 77433-1227

Officer/Director/Trustee Four

HEBA HOELSCHER
FINANCIAL OFFICER
2611 COOPERS POST LANE
SUGAR LAND TX 77478

Organization’s website HTTP://APDOUH.ORG/
Organization’s email UHAPDO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 JULIANNE PHAN
Signature Title ADVISOR
Signature Date 2/14/18

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