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HARTFORD DERMATOLOGY ASSOCIATES, P.C.

Company Details

Entity Name: HARTFORD DERMATOLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 01 Jul 1971
Business ALEI: 0045725
Annual report due: 01 Jul 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT, 06107, United States
Mailing address: 65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT, United States, 06107
ZIP code: 06107
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: annemarie@meddentconsultants.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARTFORD DERMATOLOGY ASSOCIATES, P.C. 401(K) PLAN 2022 060871670 2023-11-22 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107
HARTFORD DERMATOLOGY ASSOCIATES, P.C. 401(K) PLAN 2021 060871670 2022-08-25 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2022-08-25
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-25
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
HARTFORD DERMATOLOGY ASSOCIATES, P.C. 401(K) PLAN 2021 060871670 2022-08-25 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107
HARTFORD DERMATOLOGY ASSOCIATES, P.C. 401(K) PLAN 2020 060871670 2021-09-14 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
HARTFORD DERMATOLOGY ASSOCIATES, P.C. ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2019 060871670 2020-08-29 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2020-08-29
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-29
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
HARTFORD DERMATOLOGY ASSOCIATES, P.C. ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2018 060871670 2019-07-24 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
HARTFORD DERMATOLOGY ASSOCIATES, P.C. 2017 060871670 2018-08-07 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2018-08-07
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-07
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
HARTFORD DERMATOLOGY ASSOCIATES, P.C. ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2016 060871670 2017-10-12 HARTFORD DERMATOLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 8605231087
Plan sponsor’s address 65 MEMORIAL ROAD, WEST HARTFORD, CT, 06107

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing LISA KUGELMAN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
LISA CATHERINE KUGELMAN M.D. Officer 65 MEMORIAL ROAD, SUITE 450, WEST HARTFORD, CT, 06107, United States 201 TUNXIS RD, WEST HARTFORD, CT, 06107, United States
WENDY S. LEVINBOOK M.D. Officer 65 MEMORIAL ROAD, SUITE 450, WEST HARTFORD, CT, 06107, United States 23 QUAIL HOLLOW, WEST HARTFORD, CT, 06117, United States

Director

Name Role Business address Residence address
LISA CATHERINE KUGELMAN M.D. Director 65 MEMORIAL ROAD, SUITE 450, WEST HARTFORD, CT, 06107, United States 201 TUNXIS RD, WEST HARTFORD, CT, 06107, United States
WENDY S. LEVINBOOK M.D. Director 65 MEMORIAL ROAD, SUITE 450, WEST HARTFORD, CT, 06107, United States 23 QUAIL HOLLOW, WEST HARTFORD, CT, 06117, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SCOTT B. FRANKLIN ESQ. Agent 68 SOUTH MAIN STREET, WEST HARTFORD, CT, 06107, United States 68 SOUTH MAIN STREET, WEST HARTFORD, CT, 06107, United States +1 860-561-4832 sbf@franklinlaw.net 31 MIDDLEFIELD DRIVE, WEST HARTFORD, CT, 06107, United States

History

Type Old value New value Date of change
Name change THOMAS P. KUGELMAN, M.D., P.C. HARTFORD DERMATOLOGY ASSOCIATES, P.C. 1999-02-26

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012220296 2024-06-10 No data Annual Report Annual Report No data
BF-0011089908 2023-06-02 No data Annual Report Annual Report No data
BF-0010298639 2022-06-07 No data Annual Report Annual Report 2022
BF-0009759380 2021-07-04 No data Annual Report Annual Report No data
0006955820 2020-07-31 No data Annual Report Annual Report 2020
0006680219 2019-11-14 No data Annual Report Annual Report 2019
0006270475 2018-11-01 No data Annual Report Annual Report 2018
0005889301 2017-07-17 No data Annual Report Annual Report 2017
0005623098 2016-08-05 No data Annual Report Annual Report 2016
0005623096 2016-08-05 No data Annual Report Annual Report 2015

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website