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  5. SHORELINE EYE GROUP, P.C.

SHORELINE EYE GROUP, P.C.

Company Details

Entity Name: SHORELINE EYE GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 29 May 1980
Business ALEI: 0106160
Annual report due: 29 May 2024
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385, United States
Mailing address: 741 BROAD ST EXTENSION, WATERFORD, CT, United States, 06385
ZIP code: 06385
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: jeanne@shorelineeyegroup.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2023 061022481 2024-03-18 SHORELINE EYE GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2024-03-18
Name of individual signing LIOR HAIM, M.D.
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 061022481 2023-03-30 SHORELINE EYE GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing LIOR HAIM, M.D.
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN & TRUST 2021 061022481 2022-04-07 SHORELINE EYE GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2022-04-07
Name of individual signing LIOR HAIM, M.D.
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN & TRUST 2020 061022481 2021-03-09 SHORELINE EYE GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2021-03-09
Name of individual signing LIOR HAIM, M.D.
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 061022481 2020-07-07 SHORELINE EYE GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing LIOR HAIM, M.D.
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 061022481 2019-07-29 SHORELINE EYE GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 061022481 2018-06-21 SHORELINE EYE GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 061022481 2017-10-05 SHORELINE EYE GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 061022481 2016-09-06 SHORELINE EYE GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1981-05-27
Business code 621320
Sponsor’s telephone number 8604425663
Plan sponsor’s address 741 BROAD STREET EXTENSION, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2016-09-06
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-06
Name of individual signing LIOR HAIM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
LIOR HAIM MD Agent 741 BROAD STREET EXT, WATERFORD, CT, 06385, United States 741 BROAD STREET EXT, WATERFORD, CT, 06385, United States +1 860-670-4901 jeanne@shorelineeyegroup.com 201 AYERS POINT RD, OLD SAYBROOK, CT, 06475, United States

Director

Name Role Business address Residence address
LIOR HAIM M.D. Director 741 BROAD ST EXT, WATERFORD, CT, 06385, United States 201 AYERS POINT RD, OLD SAYBROOK, CT, 06475, United States

Officer

Name Role Business address Residence address
LIOR HAIM M.D. Officer 741 BROAD ST EXT, WATERFORD, CT, 06385, United States 201 AYERS POINT RD, OLD SAYBROOK, CT, 06475, United States

History

Type Old value New value Date of change
Name change DRS. KLIMEK & REILLY, P.C. SHORELINE EYE GROUP, P.C. 1986-04-01

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011384318 2023-06-12 No data Annual Report Annual Report No data
BF-0010345998 2023-02-09 No data Annual Report Annual Report 2022
0007353173 2021-05-27 No data Annual Report Annual Report 2021
0006868778 2020-04-01 No data Annual Report Annual Report 2019
0006868794 2020-04-01 No data Annual Report Annual Report 2020
0006405498 2019-02-25 No data Annual Report Annual Report 2016
0006405509 2019-02-25 No data Annual Report Annual Report 2018
0006405493 2019-02-25 No data Annual Report Annual Report 2015
0006405486 2019-02-25 No data Annual Report Annual Report 2014
0006405504 2019-02-25 No data Annual Report Annual Report 2017

Related by officers

No related officers

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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