FORM 1023-EZ for DDS INTERNATIONAL INC

Field Data
EIN 61-1919418
Case Number EO-2020160-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DDS INTERNATIONAL INC
Organization’s Mailing Address 332 ASH SWAMP RD
City GLASTONBURY
State CT
ZIP 06033
Accounting period End 12
Primary contact name BRAD HEIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD HEIM
SECRETARY - DIRECTOR
332 ASH SWAMP RD
GLASTONBURY CT 06033

Officer/Director/Trustee Two

ROBERT HENIN
PRESIDENT - DIRECTOR
312 CHESHAM ST
ORMOND BEACH FL 32174

Officer/Director/Trustee Three

PATRICIA HENIN
TREASURER - DIRECTOR
312 CHESHAM ST
ORMOND BEACH FL 32174

Officer/Director/Trustee Four

JOSE ALVAREZ
DIRECTOR
616 N MAIN ST
MANCHESTER CT 06040

Officer/Director/Trustee Five

GREGORY MOKOTOFF
DIRECTOR
50 OLD DAIRY RD
TRUMBULL CT 06611

Organization’s website DDSINTERNATIONAL.ORG
Organization’s email DDSINTERNATIONAL.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2019
Organization Incorporation State CT
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRAD HEIM
Signature Title SECRETARY - DIRECTOR
Signature Date 6/5/2020

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