FORM 1023-EZ for VETERAN DENTAL

Field Data
EIN 47-3210133
Case Number EO-2018333-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN DENTAL
Organization’s Mailing Address 191 ELK DRIVE
City SONORA
State CA
ZIP 95370-5539
Accounting period End 12
Primary contact name JAMES GRINNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES GRINNELL
PRESIDENT & CEO
191 ELK DRIVE
SONORA CA 95370-5539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES GRINNELL
Signature Title PRESIDENT & CEO
Signature Date 11/27/18

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