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  5. BAY STREET PEDIATRIC ASSOCIATES, P.C.

BAY STREET PEDIATRIC ASSOCIATES, P.C.

Company Details

Entity Name: BAY STREET PEDIATRIC ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 23 Feb 1973
Business ALEI: 0032847
Annual report due: 23 Feb 2025
NAICS code: 621498 - All Other Outpatient Care Centers
Business address: 156 KINGS HWY NORTH, WESTPORT, CT, 06880, United States
Mailing address: 156 KINGS HWY NORTH, WESTPORT, CT, United States, 06880
ZIP code: 06880
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: merhardt@drspedi.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAY STREET PEDIATRIC 401K PLAN 2017 221996227 2018-06-14 BAY STREET PEDIATRIC ASSOCIATES 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 156 KINGS HWY NORTH, SUITE 3, WESTPORT, CT, 068802400

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing LORI SMITH
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401K PLAN 2016 221996227 2017-06-19 BAY STREET PEDIATRIC ASSOCIATES 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 156 KINGS HWY NORTH, SUITE 3, WESTPORT, CT, 068802400

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing LAUREN MANGAN
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401K PLAN 2015 221996227 2016-06-15 BAY STREET PEDIATRIC ASSOCIATES 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY STREET, WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing LAUREN MANGAN
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401(K) PLAN 2014 221996227 2015-06-09 BAY STREET PEDIATRIC ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY ST., WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing FERN PERLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing FERN PERLMAN
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401(K) PLAN 2013 221996227 2014-09-09 BAY STREET PEDIATRIC ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY ST., WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2014-09-09
Name of individual signing FERN PERLMAN
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401(K) PLAN 2012 221996227 2013-08-14 BAY STREET PEDIATRIC ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY ST., WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing FERN PERLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-14
Name of individual signing FERN PERLMAN
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401(K) PLAN 2011 221996227 2012-05-23 BAY STREET PEDIATRIC ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY ST., WESTPORT, CT, 06880

Plan administrator’s name and address
Administrator’s EIN 221996227
Plan administrator’s name BAY STREET PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 20 BAY ST., WESTPORT, CT, 06880
Administrator’s telephone number 2032273674

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing PATRICIA MCAULIFFE
Valid signature Filed with authorized/valid electronic signature
BAY STREET PEDIATRIC 401(K) PLAN 2010 221996227 2011-07-18 BAY STREET PEDIATRIC ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2032273674
Plan sponsor’s address 20 BAY ST., WESTPORT, CT, 06880

Plan administrator’s name and address
Administrator’s EIN 221996227
Plan administrator’s name BAY STREET PEDIATRIC ASSOCIATES, P.C.
Plan administrator’s address 20 BAY ST., WESTPORT, CT, 06880
Administrator’s telephone number 2032273674

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing PATRICIA MCAULIFFE
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
LORI STORCH SMITH MD Officer 156 KINGS HWY NORTH, WESTPORT, CT, 06880, United States 312 WESTPORT RD, WILTON, CT, 06897, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
LORI STORCH SMITH Agent 156 KINGS HWY N, WESTPORT, CT, 06880, United States 156 KINGS HWY N, WESTPORT, CT, 06880, United States +1 203-731-0053 MERHARDT@DRSPEDI.COM 312 WESTPORT RD, WILTON, CT, 06897, United States

History

Type Old value New value Date of change
Name change NEIL F. LEBHAR, M.D., P.C. BAY STREET PEDIATRIC ASSOCIATES, P.C. 1983-06-13

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012218141 2024-01-29 No data Annual Report Annual Report No data
BF-0011089368 2023-01-27 No data Annual Report Annual Report No data
BF-0010300189 2022-01-27 No data Annual Report Annual Report 2022
0007229868 2021-03-15 No data Annual Report Annual Report 2021
0006726778 2020-01-15 No data Annual Report Annual Report 2020
0006317741 2019-01-11 No data Annual Report Annual Report 2019
0006317729 2019-01-11 No data Annual Report Annual Report 2018
0006059873 2018-02-07 No data Annual Report Annual Report 2017
0005756512 2017-01-31 No data Annual Report Annual Report 2016
0005477038 2016-01-29 No data Annual Report Annual Report 2015

Related by officers

LORI STORCH SMITH

CONNECTICUT PEDIATRIC PARTNERSHIP, LLC

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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