FORM 1023-EZ for THE CORNERSTONE FOUNDATION FOR CHARITABLE DENTAL WORKS
| Field | Data |
|---|---|
| EIN | 83-2945413 |
| Case Number | EO-2020007-000079 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CORNERSTONE FOUNDATION FOR CHARITABLE DENTAL WORKS |
| Organization’s Mailing Address | 10000 BROWNSBORO ROAD NUMBER 6 |
| City | LOUISVILLE |
| State | KY |
| ZIP | 40241 |
| Accounting period End | 12 |
| Primary contact name | JEFFEREY M YUSSMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEREMY BEWLEY DMD
PRESIDENT/EXECUTIVE DIRECTOR/BD CH
10000 BROWNSBORO RD NO 6
LOUISVILLE KY 40241
Officer/Director/Trustee Two
RICHARD SHAY DMD
TREASURER/BD MEMBER
10000 BROWNSBORO RD NO 6
LOUISVILLE KY 40241
Officer/Director/Trustee Three
NANDAKA JAYAWEERA DMD
SECRETARY/BD MEMBER
10000 BROWNSBORO RD NO 6
LOUISVILLE KY 40241
Officer/Director/Trustee Four
CHRIS COOK DMD
VICE CHAIR/BD MEMBER
10000 BROWNSBORO RD NO 6
LOUISVILLE KY 40241
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/19/2018 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E30 - Health Treatment Facilities, Primarily Outpatient |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JEREMY BEWLEY DMD |
| Signature Title | PRESIDENT/EXECUTIVE DIRECTOR/BD CH |
| Signature Date | 1/5/2020 |
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