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INTERLAKEN INN, INC.

Company Details

Entity Name: INTERLAKEN INN, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 09 Mar 1956
Business ALEI: 0023565
Mailing address: INTERLAKEN RD RT 112, LAKEVILLE, CT, 06039
Place of Formation: CONNECTICUT
Total authorized shares: 0

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2023 222400709 2024-06-01 INTERLAKEN INN 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2024-06-01
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2022 222400709 2023-10-03 INTERLAKEN INN 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2021 222400709 2022-05-20 INTERLAKEN INN 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2022-05-20
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2020 222400709 2021-06-02 INTERLAKEN INN 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2019 222400709 2020-06-20 INTERLAKEN INN 37
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2020-06-20
Name of individual signing MBOUSQUET0103
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2019 222400709 2020-06-30 INTERLAKEN INN 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2018 222400709 2019-07-11 INTERLAKEN INN 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2019-07-11
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2017 222400709 2018-06-12 INTERLAKEN INN 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401(K) PROFIT SHARING PLAN 2016 222400709 2017-05-23 INTERLAKEN INN 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721110
Sponsor’s telephone number 8604359878
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing MICHELLE BOUSQUET
Valid signature Filed with authorized/valid electronic signature
INTERLAKEN INN 401 K PROFIT SHARING PLAN TRUST 2015 222400709 2016-06-26 INTERLAKEN INN 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 721191
Sponsor’s telephone number 8602222909
Plan sponsor’s address 74 INTERLAKEN INN, LAKEVILLE, CT, 06039

Signature of
Role Plan administrator
Date 2016-06-26
Name of individual signing MICHELLE BRUCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
WILLIAM J PETERS Agent INTERLAKEN RD, LAKEVILLE, CT, 06039, United States INTERLAKEN RD, LAKEVILLE, CT, 06039, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0000447424 1980-10-02 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
0000447422 1956-03-29 No data First Report Organization and First Report No data
0000447423 1956-03-27 No data Miscellaneous Miscellaneous No data
0000447421 1956-03-09 No data Business Formation Certificate of Incorporation No data

Related by officers

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Related by address

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Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website

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