SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
right arrow Attach to Form 990 or 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
ORANGE COUNTY DENTAL RESEARCH
CLINIC INC % DR ROBERT BURKS
Employer identification number

59-0980219
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 EXPENSES BANK CHARGES 132 INSURANCE 891 OTHER TAXES 68 TOTAL 1,091
FORM 990-EZ, PART III, LINE 28 FACILITY CLOSED IN JANUARY 2022 - NO SERVICES PROVIDED. EMPLOYEE SERVICED OTHER NON-PROFIT ORGANIZATION DURING 2022. APPROXIMATELY 25 HOURS WERE DONATED (INCLUDING BOARD MEMBERS VOLUNTEER HOURS).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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