FORM 1023-EZ for PERIODONTICS ALUMNI ASSOCIATION OFUTH

Field Data
EIN 47-3879683
Case Number EO-2019038-001046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERIODONTICS ALUMNI ASSOCIATION OFUTH
Organization’s Mailing Address 6370 N ELDRIDGE PKWY STE B
City HOUSTON
State TX
ZIP 77041-3517
Accounting period End 12
Primary contact name ALI SAJADI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALI SAJADI
DIRECTOR
6370 N ELDRIDGE PKWY STE B
HOUSTON TX 77041-3517

Officer/Director/Trustee Two

NIKOLA ANGELOV
FACULTY LIAISON
7500 CAMBRIDGE ST STE 6470
HOUSTON TX 77054

Organization’s website WWW.UTPERIOALUM.COM
Organization’s email UTPERIOALUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/15
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: No
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 ALI SAJADI
Signature Title DIRECTOR
Signature Date 1/26/19
EIN 47-3879683
Case Number EO-2019038-001046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERIODONTICS ALUMNI ASSOCIATION OF UTH
Organization’s Mailing Address 6370 N ELDRIDGE PKWY STE B
City HOUSTON
State TX
ZIP 77041-3517
Accounting period End 12
Primary contact name ALI SAJADI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALI SAJADI
DIRECTOR
6370 N ELDRIDGE PKWY STE B
HOUSTON TX 77041-3517

Officer/Director/Trustee Two

NIKOLA ANGELOV
FACULTY LIAISON
7500 CAMBRIDGE ST STE 6470
HOUSTON TX 77054

Organization’s website WWW.UTPERIOALUM.COM
Organization’s email UTPERIOALUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/15
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
Organization’s purpose Charitable: No
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 ALI SAJADI
Signature Title DIRECTOR
Signature Date 1/26/19

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