FORM 1023-EZ for GLOBAL DENTURE ALLIANCE

Field Data
EIN 32-0608008
Case Number EO-2019242-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLOBAL DENTURE ALLIANCE
Organization’s Mailing Address 806 W CHERRY ST
City PAYSON
State AZ
ZIP 85541
Accounting period End 12
Primary contact name JEREMY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY SMITH
PRESIDENT/DIRECTOR
806 W CHERRY ST
PAYSON AZ 85541

Officer/Director/Trustee Two

CHRISTOPHER CHUNN
TREASURER/DIRECTOR
806 W CHERRY ST
PAYSON AZ 85541

Officer/Director/Trustee Three

MARILYN WILSON
SECRETARY/DIRECTOR
806 W CHERRY ST
PAYSON AZ 85541

Officer/Director/Trustee Four

CONNIE CLARK
DIRECTOR
806 W CHERRY ST
PAYSON AZ 85541

Officer/Director/Trustee Five

SUNNY-LEE SMITH
DIRECTOR
806 W CHERRY ST
PAYSON AZ 85541

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY SMITH
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/28/19

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