FORM 1023-EZ for DENTAL OUTREACH INTERNATIONAL

Field Data
EIN 82-3317716
Case Number EO-2017324-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DENTAL OUTREACH INTERNATIONAL
Organization’s Mailing Address 139 S MARINA STREET
City PRESCOTT
State AZ
ZIP 86303
Accounting period End 9
Primary contact name MARK COSTES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK COSTES
BOARD PRESDIENT
139 MARINA STREET
PRESCOTT AZ 86303

Officer/Director/Trustee Two

ASHLEE EVANS
BOARD VICE PRESIDENT
139 MARINA STREET
PRESCOTT AZ 86303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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