FORM 1023-EZ for NORTH GEORGIA DENTAL SOCIETY

Field Data
EIN 58-2325974
Case Number EO-2017027-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH GEORGIA DENTAL SOCIETY
Organization’s Mailing Address 720 WESTVIEW DRIVE 317
City ALTANTA
State GA
ZIP 30310
Accounting period End 4
Primary contact name DR TASHA M KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TASHA KNIGHT
PRESIDENT
2575 SNAPFINGER RD
DECATUR GA 30034

Officer/Director/Trustee Two

VINCENT VAUGHTERS
VICE PRESIDENT
5040 SNAPFINGER WOODS DR
DECATUR GA 30035

Officer/Director/Trustee Three

BRANDICE ALLEN
SECRETARY
PO BOX 93542
DECATUR GA 30035

Officer/Director/Trustee Four

EDMOND FRANKLIN
TREASURER
1177 GARDEN WALK BLVD
COLLEGE PARK GA 30349

Organization’s website NORTHGEORGIADENTALSOCIETY.ORG
Organization’s email DRKNIGHT71@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2003
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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