FORM 1023-EZ for DETROIT DENTAL CHARITY INCORPORATED

Field Data
EIN 82-2746332
Case Number EO-2017279-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DETROIT DENTAL CHARITY INCORPORATED
Organization’s Mailing Address 5505 HAMPSHIRE DRIVE
City WEST BLOOMFIELD
State MI
ZIP 48322
Accounting period End 12
Primary contact name SERENE DALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SERENE DALI
PRESIDENT
444 CHESTER ST APT 403
BIRMINGHAM MI 48009

Officer/Director/Trustee Two

NADINE DALI
TRESURER
5505 HAMPSHIRE DRIVE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Three

KHALID RAOOF
SECRETARY
2037 SOUTH COAST HWY APT 10
LAGUNA BEACH CA 92651

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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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