2023-06-22T13:51:49-05:00 2022-12-31 621114363 HENDERSON HUTCHERSON & MCCULLOUGH PLLC 1200 MARKET STREET CHATTANOOGA TN 37402 990 2022-01-01 844578125 REVIVE DENTAL TENNESSEE REVI 4232069641 212 SYLVAN DRIVE LOOKOUT MOUNTAIN TN 37350 LEIGH KUYRKENDALL PRESIDENT 4236646593 2023-06-21 1 LEIGH KUYRKENDALL 999009999 0 ERIC LIDDY CPA P01647158 4237567771 2023-06-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LEIGH KUYRKENDALL 1212 DODDS AVE CHATTANOOGA TN 37404 932310 0 X REVIVEDENTAL.ORG X 2019 TN TO PROVIDE HIGH QUALITY DENTAL WORK AT A LOW COST TO LOW INCOME HOUSEHOLDS. 3 3 14 0 0 0 0 268380 0 663930 0 0 0 0 0 932310 0 90000 0 0 0 281745 0 0 0 0 370659 0 742404 0 189906 25181 236503 0 21416 25181 215087 TO PROVIDE HIGH QUALITY DENTAL WORK AT A LOW COST TO LOW INCOME HOUSEHOLDS. 0 0 565565 90000 663930 PROVIDE LOW-COST DENTAL SERVICES TO UNDERSERVED PATIENTS IN THE CHATTANOOGA REGIONAL AREA, ESPECIALLY THE POOR AND VULNERABLE, AS WELL AS INDIVIDUALS STRUGGLING WITH SUBSTANCE ABUSE AND ADDICTION. TO ALSO SUPPORT COMMUNITY RECOVERY CENTERS BY PROVIDING DENTAL CARE TO RESIDENTS WHO NEED DENTAL WORK AND TRAIN DENTISTS IN ADVANCED GENERAL DENTISTRY SO THAT THESE GRADUATES WILL BECOME LEADERS IN THEIR COMMUNITIES AND ADVOCATES FOR ORAL HEALTH. 565565 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 14 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 X X JOCELYN BRYANT 4234000289 120 N WATAUGA LANE LOOKOUT MOUNTAIN TN 37350 X TODD JACOBSON SECRETARY 1.00 X X 0 0 0 MICHAEL MCCRACKEN VICE PRESIDENT 8.00 X X 0 0 0 LEIGH KUYRKENDALL PRESIDENT 3.00 X X 0 0 0 0 0 0 0 0 0 0 0 268380 268380 DENTISTRY SERVICES 621110 663930 663930 663930 932310 663930 0 0 90000 90000 248176 145312 102864 13003 7614 5389 20566 12134 8432 888 888 388 388 45266 43792 1474 16584 16584 17553 555 16998 11850 11850 28322 28322 1791 1791 3782 3782 CLINIC SUPPLIES 172970 172970 LABORATORY EXPENSE 70047 70047 MISCELLANEOUS EXPENSE 1218 984 234 742404 565565 176839 0 25181 39620 0 25868 43127 1791 0 41336 0 129679 25181 236503 0 21416 0 21416 X 25181 215087 25181 215087 25181 236503 189906 0 X 0 0 0 X 0 0 0 0 268380 268380 268380 268380 268380 268380 663930 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43127 1791 41336 41336 1 FOUNDRY DENTAL CENTER 1700 SIXTH AVENUE NORTH BESSEMER AL 35020 271406376 N/A 80000 0 CASH VALUE SERVING INDIVIDUALS WHO ARE STRIVING TO BE FREE FROM ADDICTION, ALCOHOLISM, AND HOMELESSNESS. BEERSHEBA SPRINGS MEDICAL CLINIC PO BOX 112 BEERSHEBA SPRINGS TN 37305 264579813 501(C)(3) 10000 0 CASH VALUE SERVING INDIVIDUALS WHO ARE STRIVING TO BE FREE FROM ADDICTION, ALCOHOLISM, AND HOMELESSNESS. 1 2 PART I, LINE 2: THE BOARD OF DIRECTORS DECIDES THE AMOUNTS FOR AND WHO WILL RECEIVE GRANTS, AND THE ACCOUNTANT RECORDS AND KEEPS RECORDS OF THE DISBURSEMENTS OF GRANTS. THEY REGULARLY FOLLOW UP WITH GRANT RECIPIENTS TO ENSURE FUNDS ARE USED FOR THEIR INTENDED PURPOSE. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTANT PERFORMS A DETAILED REVIEW OF THE 990 AND THEN PRESENTS THE INFORMATION TO THE BAORD. THE PRESIDENT WILL THEN REVIEW AND SIGN THE TAX RETURN. FORM 990, PART VI, SECTION C, LINE 19 REVIVE DENTAL TENNESSEE MAKES ALL INFORMATION AVAILABLE TO PUBLIC UPON REQUEST