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  5. GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD COUNTY, P.C.

GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD COUNTY, P.C.

Company Details

Entity Name: GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD COUNTY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 04 Jan 1971
Business ALEI: 0023575
Annual report due: 04 Jan 2026
NAICS code: 621493 - Freestanding Ambulatory Surgical and Emergency Centers
Business address: 425 POST ROAD, FAIRFIELD, CT, 06824, United States
Mailing address: 425 POST RD, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: stomlinson@gidox.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2022 060867113 2023-07-28 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2022 060867113 2023-07-28 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 120
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2021 060867113 2022-10-03 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2020 060867113 2021-10-05 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2021-10-05
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2019 060867113 2020-10-12 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2018 060867113 2019-10-15 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2017 060867113 2018-06-19 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2016 060867113 2017-10-12 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2015 060867113 2016-10-13 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 401(K) PROFIT SHARING PLAN 2014 060867113 2015-10-15 GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C. 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621111
Sponsor’s telephone number 2032929000
Plan sponsor’s address 425 POST RD, FAIRFIELD, CT, 068246232

Plan administrator’s name and address
Administrator’s EIN 060867113
Plan administrator’s name GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD P.C.
Plan administrator’s address 425 POST RD, FAIRFIELD, CT, 068246232
Administrator’s telephone number 2032929000

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing KENNETH MAUER
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
JULIE SPIVACK MD Officer 425 POST ROAD, FAIRFIELD, CT, 06824, United States No data No data 142 Harrison Avenue, New Canaan, CT, 06840, United States
KENNETH R. MAUER M.D. Officer 425 POST ROAD, FAIRFIELD, CT, 06824, United States +1 203-984-0239 stomlinson@gidox.com 31 GREENLEA LANE, WESTON, CT, 06883, United States
STRICK J. WOODS M.D. Officer 425 POST ROAD, FAIRFIELD, CT, 06824, United States No data No data 19 HIGHWOOD PLACE, TRUMBULL, CT, 06611, United States
TARUN GUPTA MD Officer 425 POST ROAD, FAIRFIELD, CT, 06824, United States No data No data 31 Melba Street, Milford, CT, 06460, United States

Director

Name Role Business address Residence address
DANIEL STUPAK MD Director 425 POST ROAD, FAIRFIELD, CT, 06824, United States 300 SOUTH GATE LANE, SOUTHPORT, CT, 06890, United States
EDDY CASTILLO MD Director 425 POST ROAD, FAIRFIELD, CT, 06824, United States 9 PERCHERON DRIVE, MONROE, CT, 06468, United States
EMIL BLANCO MD Director 425 POST ROAD, FAIRFIELD, CT, 06824, United States 22 ST. JOHN PLACE, WESTPORT, CT, 06880, United States
NICHOLAS LILLO MD Director 425 POST ROAD, FAIRFIELD, CT, 06824, United States 593 ROWLAND ROAD, FAIRFIELD, CT, 06824, United States
GENA COBRIN MD Director 425 POST ROAD, FAIRFIELD, CT, 06824, United States 54 WEST BRANCH ROAD, WESTON, CT, 06883, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
KENNETH R. MAUER M.D. Agent 425 POST RD., FAIRFIELD, CT, 06824, United States 425 POST RD., FAIRFIELD, CT, 06824, United States +1 203-984-0239 stomlinson@gidox.com 31 GREENLEA LANE, WESTON, CT, 06883, United States

History

Type Old value New value Date of change
Name change GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD COUNTY, P.C. 1996-12-31
Name change INTERNAL MEDICINE ASSOCIATES OF FAIRFIELD, P.C. GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD, P.C. 1993-01-21

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012898308 2024-12-23 No data Annual Report Annual Report No data
BF-0012340597 2024-01-05 No data Annual Report Annual Report No data
BF-0011088008 2023-01-23 No data Annual Report Annual Report No data
BF-0010176465 2022-01-28 No data Annual Report Annual Report 2022
0007211076 2021-03-09 No data Annual Report Annual Report 2021
0006718034 2020-01-09 No data Annual Report Annual Report 2020
0006550734 2019-05-03 No data Annual Report Annual Report 2016
0006550738 2019-05-03 No data Annual Report Annual Report 2017
0006550767 2019-05-03 No data Annual Report Annual Report 2019
0006550740 2019-05-03 No data Annual Report Annual Report 2018

Related by officers

No related officers

Related by address

425 POST ROAD, FAIRFIELD, CT, 06824, United States

MEDICAL SPECIALISTS OF FAIRFIELD, L.L.C.

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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