| Field | Data |
|---|---|
| EIN | 82-5268287 |
| Case Number | EO-2018165-000663 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DUCK RIVER DENTAL OUTREACH |
| Organization’s Mailing Address | 606 SANTA FE PIKE |
| City | COLUMBIA |
| State | TN |
| ZIP | 38401-2342 |
| Accounting period End | 12 |
| Primary contact name | JIM MORRISON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
JIM MORRISON
PRESIDENT AND DIRECTOR
1104 MANOR ROAD
COLUMBIA TN 38401-5140
DENNIS GARDNER
VICE PRESIDENT AND DIRECTOR
2928 KNOB CREEK ROAD
COLUMBIA TN 38401-1431
BO MYERS
DIRECTOR
2044 RED JACKET TRACE
SPRING HILL TN 37174-5164
LAWRENCE HORNER
SECRETARY
620 WEST 7TH STREET
COLUMBIA TN 38401-3139
MARVIN CAINE
TREASURER
3512 OLD MILL DRIVE
SPRING HILL TN 37174-2189
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/10/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | JIM MORRISON |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 6/12/18 |
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