FORM 1023-EZ for NATIONAL GENDER AND SEXUAL DIVERSITY IN DENTISTRY ALLIANCE

Field Data
EIN 86-1857845
Case Number EO-2021256-000750
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL GENDER AND SEXUAL DIVERSITY IN DENTISTRY ALLIANCE
Organization’s Mailing Address 8 10TH ST 3301
City SAN FRANCISCO
State CA
ZIP 94103-1440
Accounting period End 12
Primary contact name ERIC COY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC COY
CEO AND PRESIDENT
8 10TH STREET 3301
SAN FRANCISCO CA 94103-1440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERIC COY
Signature Title CEO AND PRESIDENT
Signature Date 9/12/2021

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