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  5. OBGYN GROUP OF EASTERN CONNECTICUT, P.C.

OBGYN GROUP OF EASTERN CONNECTICUT, P.C.

Company Details

Entity Name: OBGYN GROUP OF EASTERN CONNECTICUT, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 01 Jul 1971
Business ALEI: 0034365
Annual report due: 01 Jul 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 2600 TAMARACK AVE, SOUTH WINDSOR, CT, 06074, United States
Mailing address: 2600 TAMARACK AVE, STE 200, SOUTH WINDSOR, CT, United States, 06074
ZIP code: 06074
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: kriccitelli@obgyneasternct.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
C6UCEMZTD4Y1 2025-01-07 2600 TAMARACK AVE, SOUTH WINDSOR, CT, 06074, 5560, USA 2600 TAMARACK AVE, SUITE 200, SOUTH WINDSOR, CT, 06074, 5560, USA

Business Information
Congressional District 01
State/Country of Incorporation CT, USA
Activation Date 2024-01-10
Initial Registration Date 2023-12-21
Entity Start Date 1971-07-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name COURTNEY THRALL
Address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074, USA
Government Business
Title PRIMARY POC
Name COURTNEY THRALL
Address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2020 060871319 2021-04-19 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2021-04-19
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2019 060871319 2020-06-24 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 58
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2018 060871319 2019-07-16 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2017 060871319 2018-04-16 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2018-04-16
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2016 060871319 2017-06-02 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2017-06-02
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2015 060871319 2016-07-18 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing DANIELLE GRIECO
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2014 060871319 2015-07-29 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 61
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing MARTIN J. HANCOCK M.D.
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2013 060871319 2014-05-27 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing MARTIN J. HANCOCK M.D.
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2012 060871319 2014-01-28 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 64
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074

Signature of
Role Plan administrator
Date 2014-01-28
Name of individual signing MARTIN J. HANCOCK M.D.
Valid signature Filed with authorized/valid electronic signature
OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 401(K) PROFIT SHARING PLAN 2011 060871319 2013-03-20 OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1971-09-01
Business code 621111
Sponsor’s telephone number 8606461157
Plan sponsor’s address 2600 TAMARACK AVENUE SUITE 200, SOUTH WINDSOR, CT, 06074

Plan administrator’s name and address
Administrator’s EIN 060871319
Plan administrator’s name OBGYN GROUP OF EASTERN CONNECTICUT, P.C.
Plan administrator’s address 2600 TAMARACK AVENUE SUITE 200, SOUTH WINDSOR, CT, 06074
Administrator’s telephone number 8606461157

Signature of
Role Plan administrator
Date 2013-03-20
Name of individual signing MARIE JOANNE ARRE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DANIELLE GRIECO M.D. Agent 2600 TAMARACK AVE, SOUTH WINDSOR, CT, 06074, United States 2600 TAMARACK AVE, SUITE 200, SOUTH WINDSOR, CT, 06074, United States +1 860-646-1157 kriccitelli@obgyneasternct.com 1596 ASYLUM AVE, WEST HARTFORD, CT, 06117, United States

Officer

Name Role Business address Phone E-Mail Residence address
SARAH GRACEFFA MD Officer 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074, United States No data No data 108 ANDREIS TRAIL, SOUTH WINDSOR, CT, 06074, United States
KATERINA MICHAELS-BOGDAN M.D. Officer 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074, United States No data No data 10 DOGWOOD DRIVE, ANDOVER, CT, 06232, United States
DANIELLE GRIECO M.D. Officer 2600 TAMARACK AVENUE, SUITE 200, SOUTH WINDSOR, CT, 06074, United States +1 860-646-1157 kriccitelli@obgyneasternct.com 1596 ASYLUM AVE, WEST HARTFORD, CT, 06117, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0000820 Clinical Laboratory ACTIVE CURRENT 2010-10-08 2023-10-01 2025-09-30

History

Type Old value New value Date of change
Name change OB-GYN GROUP OF MANCHESTER, P.C. OBGYN GROUP OF EASTERN CONNECTICUT, P.C. 2011-03-17

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012218857 2024-06-20 No data Annual Report Annual Report No data
BF-0011088061 2023-06-01 No data Annual Report Annual Report No data
BF-0010693006 2022-08-01 No data Annual Report Annual Report No data
BF-0009760881 2022-05-16 No data Annual Report Annual Report No data
0006928028 2020-06-19 No data Annual Report Annual Report 2020
0006579243 2019-06-18 No data Annual Report Annual Report 2019
0006210360 2018-07-03 No data Annual Report Annual Report 2018
0005882649 2017-07-08 No data Annual Report Annual Report 2017
0005613549 2016-07-26 No data Annual Report Annual Report 2016
0005507221 2016-02-25 2016-02-25 Change of Agent Agent Change No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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