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HARTFORD OPHTHALMOLOGY ASSOCIATES, INC.

Company Details

Entity Name: HARTFORD OPHTHALMOLOGY ASSOCIATES, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Jun 1969
Business ALEI: 0055754
Annual report due: 25 Jun 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 19 Woodland St, Hartford, CT, 06105-2335, United States
Mailing address: 19 WOODLAND STREET, suite 44, HARTFORD, CT, United States, 06105
ZIP code: 06105
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: telesfor140@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2023 060856363 2024-10-04 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2022 060856363 2023-09-19 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2021 060856363 2022-10-14 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2020 060856363 2021-07-27 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2019 060856363 2020-06-30 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2018 060856363 2019-07-30 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2017 060856363 2018-10-06 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2018-10-06
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2016 060856363 2017-09-29 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2017-09-29
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2015 060856363 2017-08-21 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2017-08-21
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 401(K) PROFIT SHARING PLAN 2014 060856363 2015-03-24 HARTFORD OPHTHALMOLOGY ASSOCIATES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-12-31
Business code 621111
Sponsor’s telephone number 8602472169
Plan sponsor’s address 19 WOODLAND STREET, SUITE 44, HARTFORD, CT, 06105

Signature of

Role Plan administrator
Date 2015-03-11
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-11
Name of individual signing EDMUND SUSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
EDMUND SUSKI Agent 19 WOODLAND ST, SUITE44, HARTFORD, CT, 06105, United States +1 860-209-9211 telesfor140@yahoo.com 91 DUNCASTER RD, BLOOMFIELD, CT, 06002, United States

Officer

Name Role Business address Residence address
EDMUND SUSKI MD Officer 19 WOODLAND ST, SUITE 44, HARTFORD, CT, 06105, United States 91 DUNCASTER RD., BLOOMFIELD, CT, 06002, United States
PATRICIA SUSKI Officer 19 WOODLAND ST, SUITE 44, HARTFORD, CT, 06105, United States 91 DUNCASTER RD, -, BLOOMFIELD, CT, 06002, United States
CONRAD SUSKI Officer 19 WOODLAND ST, SUITE 44, HARTFORD, CT, 06105, United States 110 CHERRY HILL LANE, CAREY, NC, 27518, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012219015 2024-06-25 No data Annual Report Annual Report No data
BF-0011081917 2023-05-31 No data Annual Report Annual Report No data
BF-0010410848 2022-06-25 No data Annual Report Annual Report 2022
BF-0009752842 2021-06-25 No data Annual Report Annual Report No data
0007064464 2021-01-14 No data Annual Report Annual Report 2020
0006890814 2020-04-23 No data Annual Report Annual Report 2019
0006888851 2020-04-20 No data Annual Report Annual Report 2018
0005953952 2017-10-25 No data Annual Report Annual Report 2017
0005953940 2017-10-25 No data Annual Report Annual Report 2015
0005953946 2017-10-25 No data Annual Report Annual Report 2016

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website