FORM 1023-EZ for FLUORIDE FREE PHILADELPHIA

Field Data
EIN 82-0962150
Case Number EO-2017093-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLUORIDE FREE PHILADELPHIA
Organization’s Mailing Address 320 S ISEMINGER ST
City PHILADELPHIA
State PA
ZIP 19107
Accounting period End 12
Primary contact name BEVERLY DECER RN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEVERLY DECER RN
FOUNDER
320 S ISEMINGER ST
PHILADELPHIA PA 19107

Officer/Director/Trustee Two

BARBARA SILANO
SECRETARY
2436 SOUTH CLAYMONT
PHILADELPHIA PA 19153

Officer/Director/Trustee Three

MARIA DELSI
TREASURER
1125 FEDERAL ST
PHILADELPHIA PA 19147

Officer/Director/Trustee Four

SIRPA CASSABOON ESQ
BOARD MEMBER
112 AIRPORT RD 344
COATESVILLE PA 19320

Officer/Director/Trustee Five

JERRY SILBERMAN
BOARD MEMBER
417 DOUGLASS DR
DOUGLASSVILLE PA 19518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - 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 Yes
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 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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