| Entity Name: | LEVY DENTAL GROUP, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 02 Sep 1976 |
| Business ALEI: | 0032055 |
| Business address: | 179 SUNRISE HILL CIRCLE, ORANGE, CT, 06477, United States |
| Mailing address: | 179 SUNRISE HILL CIRCLE, ORANGE, CT, United States, 06477 |
| ZIP code: | 06477 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 0 |
| E-Mail: | john.levy@sbcglobal.net |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEVY DENTAL GROUP, P.C. 401(K) PROFIT SHARING PLAN | 2013 | 060946751 | 2014-07-17 | LEVY DENTAL GROUP, P.C. | 26 | |||||||||||||||||||||||||||||||||
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| LEVY DENTAL GROUP, P.C. 401(K) PROFIT SHARING PLAN | 2012 | 060946751 | 2013-09-09 | LEVY DENTAL GROUP, P.C. | 25 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-09-09 |
| Name of individual signing | JOHN LEVY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-09-09 |
| Name of individual signing | JOHN LEVY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2038652245 |
| Plan sponsor’s address | 921 STATE STREET, NEW HAVEN, CT, 06511 |
Plan administrator’s name and address
| Administrator’s EIN | 060946751 |
| Plan administrator’s name | LEVY DENTAL GROUP, P.C. |
| Plan administrator’s address | 921 STATE STREET, NEW HAVEN, CT, 06511 |
| Administrator’s telephone number | 2038652245 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-11 |
| Name of individual signing | JOHN LEVY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| MARK G. SKLARZ | Agent | ONE TRUMBULL ST., NEW HAVEN, CT, 06511, United States | john.levy@sbcglobal.net | 124 Merwin Avenue, Milford, CT, 06460, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JOHN S. LEVY DDS | Officer | 179 SUNRISE HILL CIRCLE, ORANGE, CT, 06511, United States | 179 SUNRISE HILL CIRCLE, ORANGE, CT, 06477, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | JOHN S. LEVY, D.D.S., P.C. | LEVY DENTAL GROUP, P.C. | 1998-01-09 |
| Name change | MORTON J. LEVY, D.D.S. AND JOHN S. LEVY, D.D.S., P.C. | JOHN S. LEVY, D.D.S., P.C. | 1984-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012039313 | 2023-10-31 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0011902964 | 2023-07-27 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0006633626 | 2019-08-30 | No data | Annual Report | Annual Report | 2018 |
| 0006633621 | 2019-08-30 | No data | Annual Report | Annual Report | 2017 |
| 0006633630 | 2019-08-30 | No data | Annual Report | Annual Report | 2019 |
| 0006338915 | 2019-01-26 | No data | Annual Report | Annual Report | 2016 |
| 0005756598 | 2017-01-31 | No data | Annual Report | Annual Report | 2015 |
| 0005165078 | 2014-08-15 | No data | Annual Report | Annual Report | 2014 |
| 0004922469 | 2013-08-13 | No data | Annual Report | Annual Report | 2013 |
| 0004861242 | 2013-05-16 | No data | Annual Report | Annual Report | 2012 |
Date of last update: 20 Jan 2025
Sources: Connecticut's Official State Website
