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BENCIVENGO & KO, D.M.D., P.C.

Company Details

Entity Name: BENCIVENGO & KO, D.M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 01 Apr 1980
Business ALEI: 0104174
Annual report due: 01 Apr 2025
NAICS code: 621210 - Offices of Dentists
Business address: 21 PLEASANT ST., BRISTOL, CT, 06010, United States
Mailing address: 21 PLEASANT STREET, BRISTOL, CT, United States, 06010
ZIP code: 06010
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: jjvivian@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 061018395 2024-03-20 BENCIVENGO & KO, D.M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2024-03-20
Name of individual signing VIVIAN CHEN
Valid signature Filed with authorized/valid electronic signature
BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 061018395 2023-05-15 BENCIVENGO & KO, D.M.D., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2023-05-15
Name of individual signing VIVIAN CHEN
Valid signature Filed with authorized/valid electronic signature
BENCIVENGO & KO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 061018395 2022-05-26 BENCIVENGO & KO, D.M.D., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2022-05-26
Name of individual signing I-HSIN CHEN
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 061018395 2021-07-12 CHARLES J. BENCIVENGO, D.M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 061018395 2020-06-08 CHARLES J. BENCIVENGO, D.M.D., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2020-06-08
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 061018395 2019-04-29 CHARLES J. BENCIVENGO, D.M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2019-04-29
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 061018395 2018-05-16 CHARLES J. BENCIVENGO, D.M.D., P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2018-05-16
Name of individual signing CHARLES J BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 061018395 2017-04-26 CHARLES J. BENCIVENGO, D.M.D., P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2017-04-26
Name of individual signing CHARLES J BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 061018395 2016-07-20 CHARLES J. BENCIVENGO, D.M.D., P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature
CHARLES J. BENCIVENGO, D.M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 061018395 2015-07-27 CHARLES J. BENCIVENGO, D.M.D., P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 8605828095
Plan sponsor’s address 21 PLEASANT STREET, BRISTOL, CT, 060106285

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing CHARLES BENCIVENGO
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
VIVIAN CHEN Officer 21 PLEASANT STREET, BRISTOL, CT, 06010, United States 4 COACHMANS RUN, AVON, CT, 06001, United States
WING KO Officer 21 PLEASANT STREET, BRISTOL, CT, 06010, United States 4 COACHMANS RUN, AVON, CT, 06001, United States

Director

Name Role Business address Residence address
WING KO Director 21 PLEASANT STREET, BRISTOL, CT, 06010, United States 4 COACHMANS RUN, AVON, CT, 06001, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
I-Hsin Chen Agent 4 Coachmans Run, Avon, , 06001, United States 4 Coachmans Run, Avon, CT, 06001, United States +1 860-966-0701 jjvivian@hotmail.com 4 Coachmans Run, Avon, CT, 06001, United States

History

Type Old value New value Date of change
Name change BENCIVENGO & MAIER, D.M.D., P.C. BENCIVENGO & KO, D.M.D., P.C. 2014-03-25
Name change CHARLES J. BENCIVENGO, MICHEAL P. GAUDIO, D.M.D., P.C. BENCIVENGO & MAIER, D.M.D., P.C. 2010-04-14
Name change CHARLES J. BENCIVENGO, D.M.D., P.C. CHARLES J. BENCIVENGO, MICHEAL P. GAUDIO, D.M.D., P.C. 1992-03-09

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012807402 2024-10-31 2024-10-31 Change of Agent Agent Change No data
BF-0012044339 2024-03-07 No data Annual Report Annual Report No data
BF-0011078309 2023-03-31 No data Annual Report Annual Report No data
BF-0010283372 2022-04-01 No data Annual Report Annual Report 2022
0007327894 2021-05-10 No data Annual Report Annual Report 2021
0007056641 2021-01-07 No data Interim Notice Interim Notice No data
0007056655 2021-01-07 2021-01-07 Change of Agent Agent Change No data
0007043320 2020-12-22 No data Annual Report Annual Report 2019
0007043316 2020-12-22 No data Annual Report Annual Report 2016
0007043315 2020-12-22 No data Annual Report Annual Report 2015

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website