| Field | Data |
|---|---|
| EIN | 27-1294767 |
| Case Number | EO-2017026-000182 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AMERICAN STUDENT DENTAL ASSOCIATIONPREDENTAL CHAPTER AT UH |
| Organization’s Mailing Address | 4465 UNIVERSITY DRIVE BOX 217 |
| City | HOUSTON |
| State | TX |
| ZIP | 77204 |
| Accounting period End | 5 |
| Primary contact name | MARY JOCELYN NISNISAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MARY JOCELYN ELYSE NISNISAN
PRESIDENT
5914 BRIAR HILL COURT
SUGAR LAND TX 77479
ALYSHA BHANJI
VICE PRESIDENT
8300 EL MUNDO STREET
HOUSTON TX 77054
ANDREW MAI
TREASURER
902 WOODCREST DRIVE
FRIENDSWOOD TX 77546
| Organization’s website | ASDAUH.ORG |
|---|---|
| Organization’s email | ASDA.UH@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/2003 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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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