FORM 1023-EZ for DENTAL AXS INC

Field Data
EIN 47-2412985
Case Number EO-2016021-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DENTAL AXS INC
Organization’s Mailing Address 350 BROADWAY SUITE 10
City BOULDER
State CO
ZIP 80305
Accounting period End 12
Primary contact name GARY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL TRAVIS
CHAIRMAN/PRESIDENT
350 BROADWAY STE 10
BOULDER CO 80305

Officer/Director/Trustee Two

STACEY TRAVIS
BOARD
2491 LINDEN
BOULDER CO 80304

Officer/Director/Trustee Three

GARY ANDERSON
BOARD
1889 WILSON CIR
ERIE CO 80516

Officer/Director/Trustee Four

NOON LAO
BOARD
5110 WILLIAMS FORK TRAIL
BOULDER CO 80301

Officer/Director/Trustee Five

TRACY NEITENBACH
BOARD
4806 RAVEN RUN
BROOMFIELD CO 80023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E20 - Hospitals and Related Primary Medical Care Facilities
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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