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  5. CONNECTICUT COASTAL OB/GYN, P.C.

CONNECTICUT COASTAL OB/GYN, P.C.

Company Details

Entity Name: CONNECTICUT COASTAL OB/GYN, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 04 Oct 1977
Business ALEI: 0072455
Annual report due: 04 Oct 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 675 SO. MAIN ST, CHESHIRE, CT, 06410, United States
Mailing address: 675 SO. MAIN ST, CHESHIRE, CT, United States, 06410
ZIP code: 06410
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 4000
E-Mail: mhanson@ctcobgyn.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT COASTAL OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2023 060967790 2024-05-21 CONNECTICUT COASTAL OB/GYN, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET, UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2024-05-20
Name of individual signing RAYME SHORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-20
Name of individual signing RAYME SHORE
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT COASTAL OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2022 060967790 2023-06-12 CONNECTICUT COASTAL OB/GYN, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET, UNIT A, CHESHIRE, CT, 06410
CONNECTICUT COASTAL OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2021 060967790 2022-02-16 CONNECTICUT COASTAL OB/GYN, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2022-02-15
Name of individual signing REBECCA PRINGLE
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT COASTAL OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2020 060967790 2021-03-15 CONNECTICUT COASTAL OB/GYN, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2021-03-15
Name of individual signing REBECCA PRINGLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-12
Name of individual signing REBECCA PRINGLE
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 060967790 2020-02-19 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2020-02-19
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-19
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 060967790 2019-07-23 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 060967790 2018-03-26 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2018-03-25
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 060967790 2017-01-23 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2017-01-23
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 060967790 2016-03-07 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2016-03-05
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature
OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2014 060967790 2015-06-16 OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2032502125
Plan sponsor’s address 675 SOUTH MAIN STREET - UNIT A, CHESHIRE, CT, 06410

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing KIM FLETCHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Rayme Shore Agent 675 SO. MAIN ST, CHESHIRE, CT, 06410, United States 675 SO. MAIN ST, CHESHIRE, CT, 06410, United States +1 203-671-4177 mhanson@ctcobgyn.com 675 SO. MAIN ST, CHESHIRE, CT, 06410, United States

Officer

Name Role Business address Residence address
FRANCOISE BOUBERT Officer 675 SO. MAIN STREET, CHESHIRE, CT, 06460, United States 675 SO. MAIN STREET, CHESHIRE, CT, 06460, United States
INDIRA DHANDAPANI Officer 675 South Main Street, Cheshire, CT, 06410, United States 675 South Main Street, Cheshire, CT, 06410, United States
CARYN COOKSON Officer 675 SOUTH MAIN STREET, CHESHIRE, CT, 06410, United States 675 SOUTH MAIN STREET, CHESHIRE, CT, 06410, United States
RAYME SHORE Officer 675 SO. MAIN STREET, CHESHIRE, CT, 06410, United States 675 SO. MAIN STREET, CHESHIRE, CT, 06410, United States

History

Type Old value New value Date of change
Name change OBSTETRICS-GYNECOLOGY & INFERTILITY GROUP, P.C. CONNECTICUT COASTAL OB/GYN, P.C. 2020-02-13

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012048228 2024-09-09 No data Annual Report Annual Report No data
BF-0011085997 2023-10-03 No data Annual Report Annual Report No data
BF-0010410887 2022-09-07 No data Annual Report Annual Report 2022
BF-0009819848 2021-09-20 No data Annual Report Annual Report No data
0007018066 2020-11-13 No data Interim Notice Interim Notice No data
0006975689 2020-09-09 No data Annual Report Annual Report 2020
0006828051 2020-03-11 No data Annual Report Annual Report 2019
0006762292 2020-02-13 2020-03-01 Amendment Amend Name No data
0006382004 2019-02-13 No data Annual Report Annual Report 2018
0005984374 2017-12-13 No data Annual Report Annual Report 2017

Related by officers

Rayme Shore

CHESHIRE OB ASSOCIATES, L.L.C. MADISON OB ASSOCIATES, L.L.C. BRANFORD OB ASSOCIATES, L.L.C.

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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