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ROBERT G. ZBOROWSKI, D.D.S., P.C.

Company Details

Entity Name: ROBERT G. ZBOROWSKI, D.D.S., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 01 Sep 1972
Date of dissolution: 15 Dec 2017
Business ALEI: 0032865
Annual report due: 28 Sep 2018
Business address: 281 HARTFORD TURNPIKE, VERNON, CT, 06066
Mailing address: ROBERT281 HARTFORD TNPKE SUITE 307, VERNON, CT, 06066
ZIP code: 06066
County: Tolland
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: rzborowski@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT G. ZBOROWSKI, D. D. S. , P. C. 401(K) 2017 060885838 2018-12-17 ROBERT G. ZBOROWSKI, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2018-12-17
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI, D. D. S. , P. C. DEFINED BENEFIT PENSION PLAN AND TRUST 2017 060885838 2018-12-17 ROBERT G. ZBOROWSKI, D.D.S., P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2018-12-17
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI,D.D.S.,P.C. 401(K) PLAN AND TRUST 2017 060885838 2018-03-26 ROBERT G. ZBOROWSKI, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI, D. D. S. , P. C. DEFINED BENEFIT PENSION PLAN AND TRUST 2017 060885838 2018-03-26 ROBERT G. ZBOROWSKI, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI,D.D.S.,P.C. 401(K) PLAN AND TRUST 2016 060885838 2017-06-27 ROBERT G. ZBOROWSKI, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI, D. D. S. , P. C. DEFINED BENEFIT PENSION PLAN AND TRUST 2016 060885838 2017-07-24 ROBERT G. ZBOROWSKI, D.D.S., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2017-07-24
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI,D.D.S.,P.C. 401(K) PLAN AND TRUST 2015 060885838 2016-07-01 ROBERT G. ZBOROWSKI, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2016-07-01
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI, D. D. S. , P. C. DEFINED BENEFIT PENSION PLAN AND TRUST 2015 060885838 2016-07-22 ROBERT G. ZBOROWSKI, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI,D.D.S.,P.C. 401(K) PLAN AND TRUST 2014 060885838 2015-05-19 ROBERT G. ZBOROWSKI, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, SUITE 307, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2015-05-19
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature
ROBERT G. ZBOROWSKI, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN AND TRUST 2014 060885838 2015-06-09 ROBERT G. ZBOROWSKI, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621210
Sponsor’s telephone number 8608728331
Plan sponsor’s address 281 HARTFORD TURNPIKE, VERNON, CT, 06066

Signature of

Role Plan administrator
Date 2015-06-09
Name of individual signing ROBERT G. ZBOROWSKI
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ROBERT G. ZBOROWSKI Officer 281 HARTFORD TURNPIKE, VERNON, CT, 06066, United States 28 BROCKWAY RD, ELLINGTON, CT, 06029, United States
LISA L. ZBOROWSKI Officer 281 HARTFORD TURNPIKE, VERNON, CT, 06066, United States 28 BROCKWAY ROAD, ELLINGTON, CT, 06029, United States

Agent

Name Role Business address Residence address
ROBERT G. ZBOROWSKI Agent 281 HARTFORD TNPKE, SUITE 307, VERNON, CT, 06066, United States 28 BROCKWAY RD, ELLINGTON, CT, 06029, United States

History

Type Old value New value Date of change
Name change NELSON C. FREEMAN, D.D.S., P.C. ROBERT G. ZBOROWSKI, D.D.S., P.C. 2000-08-09

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005986487 2017-12-15 2017-12-15 Dissolution Certificate of Dissolution No data
0005934015 2017-09-25 No data Annual Report Annual Report 2017
0005634176 2016-08-22 No data Annual Report Annual Report 2016
0005447033 2015-12-16 No data Annual Report Annual Report 2014
0005447031 2015-12-16 No data Annual Report Annual Report 2013
0005449248 2015-12-16 2015-12-16 Change of Agent Agent Change No data
0005447042 2015-12-16 No data Annual Report Annual Report 2015
0005447009 2015-12-16 No data Annual Report Annual Report 2012
0004608512 2011-08-11 No data Annual Report Annual Report 2011
0004265597 2010-09-01 No data Annual Report Annual Report 2010

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website