| Entity Name: | CONNECTICUT FOUNDATION FOR DENTAL OUTREACH, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 30 Nov 2007 |
| Business ALEI: | 0916121 |
| Annual report due: | 30 Nov 2025 |
| NAICS code: | 813219 - Other Grantmaking and Giving Services |
| Business address: | 835 WEST QUEEN ST., SOUTHINGTON, CT, 06489, United States |
| Mailing address: | 835 WEST QUEEN STREET, SOUTHINGTON, CT, United States, 06489 |
| ZIP code: | 06489 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | lswain@cfdo.org |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONNECTICUT FOUNDATION FOR DENTALOUTREACH PROFIT SHARING PLAN | 2023 | 261437861 | 2024-08-02 | CONNECTICUT FOUNDATION FOR DENTAL OUTREACH | 2 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-08-02 |
| Name of individual signing | SAMANTHA DELUCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2034942990 |
| Plan sponsor’s address | 835 W QUEEN ST, SOUTHINGTON, CT, 064891032 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-01 |
| Name of individual signing | SAMANTHA DELUCIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Lisa Swain | Agent | 835 West Queen St, Southington, CT, 06489, United States | +1 203-581-4175 | lswain@cfdo.org | 22 Ridgecrest Rd, Wallingford, CT, 06492-2022, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| Lisa Swain | Director | 835 West Queen St, Southington, CT, 06489, United States | +1 203-581-4175 | lswain@cfdo.org | 22 Ridgecrest Rd, Wallingford, CT, 06492-2022, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL PERL DDS | Officer | 835 WEST QUEEN ST., SOUTHINGTON, CT, 06489, United States | 71 SOUTH MAIN ST., ESSEX, CT, 06426, United States |
| Laurence Levy | Officer | 835 West Queen St, Southington, CT, 06489, United States | 193 Main St., Middletown, CT, 06457, United States |
| Gabriel Izraelevitz | Officer | 835 WEST QUEEN ST., SOUTHINGTON, CT, 06489, United States | 116 Quarry Ln, Berlin, CT, 06037-2526, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CHR.0052972 | PUBLIC CHARITY | ACTIVE | CURRENT | 2009-05-28 | 2024-12-01 | 2025-11-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012043361 | 2024-11-13 | No data | Annual Report | Annual Report | No data |
| BF-0011419990 | 2023-11-02 | No data | Annual Report | Annual Report | No data |
| BF-0010334682 | 2022-12-30 | No data | Annual Report | Annual Report | 2022 |
| BF-0009821696 | 2021-10-31 | No data | Annual Report | Annual Report | No data |
| 0007004525 | 2020-10-19 | No data | Annual Report | Annual Report | 2020 |
| 0006656370 | 2019-10-07 | No data | Annual Report | Annual Report | 2019 |
| 0006263301 | 2018-10-23 | No data | Annual Report | Annual Report | 2018 |
| 0005952515 | 2017-10-24 | No data | Annual Report | Annual Report | 2017 |
| 0005690268 | 2016-11-09 | No data | Annual Report | Annual Report | 2016 |
| 0005499491 | 2016-03-03 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
