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  5. ROBERT D. RUDNICKI, M.D., P.C.

ROBERT D. RUDNICKI, M.D., P.C.

Company Details

Entity Name: ROBERT D. RUDNICKI, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 01 Aug 1980
Date of dissolution: 17 Dec 2015
Business ALEI: 0108083
Annual report due: 29 Aug 2015
Business address: 701 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002
ZIP code: 06002
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: rsrudnicki@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2015 061025067 2016-11-10 ROBERT D. RUDNICKI, M.D., P.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Signature of
Role Plan administrator
Date 2016-11-10
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2015 061025067 2016-10-06 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Signature of
Role Plan administrator
Date 2016-10-06
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2014 061025067 2015-09-30 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2013 061025067 2014-10-08 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Plan administrator’s name and address
Administrator’s EIN 061025067
Plan administrator’s name ROBERT D. RUDNICKI, M.D., P.C.
Plan administrator’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065
Administrator’s telephone number 8602425777

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2012 061025067 2013-04-12 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Plan administrator’s name and address
Administrator’s EIN 061025067
Plan administrator’s name ROBERT D. RUDNICKI, M.D., P.C.
Plan administrator’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065
Administrator’s telephone number 8602425777

Signature of
Role Plan administrator
Date 2013-04-12
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2011 061025067 2012-07-13 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Plan administrator’s name and address
Administrator’s EIN 061025067
Plan administrator’s name ROBERT D. RUDNICKI, M.D., P.C.
Plan administrator’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065
Administrator’s telephone number 8602425777

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature
ROBERT D. RUDNICKI, M.D., P.C. PROFIT SHARING PLAN 2010 061025067 2011-09-30 ROBERT D. RUDNICKI, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-08-01
Business code 621111
Sponsor’s telephone number 8602425777
Plan sponsor’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065

Plan administrator’s name and address
Administrator’s EIN 061025067
Plan administrator’s name ROBERT D. RUDNICKI, M.D., P.C.
Plan administrator’s address 701 COTTAGE GROVE RD STE C230, BLOOMFIELD, CT, 060023065
Administrator’s telephone number 8602425777

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing ROBERT D. RUDNICKI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
ROBERT D RUDNICKI Agent 675 TOWER AVE, HARTFORD, CT, 06112, United States rsrudnicki@comcast.net 64 BURNWOOD DR, BLOOMFIELD, CT, 06002, United States

Officer

Name Role Business address Residence address
ROBERT D. RUDNICKI M.D. Officer 701 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States 64 BURNWOOD DRIVE, BLOOMFIELD, CT, 06002, United States
SANDRA RUDNICKI Officer 701 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States 64 BURNWOOD DRIVE, BLOOMFIELD, CT, 06002, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005453721 2015-12-17 2015-12-17 Dissolution Certificate of Dissolution No data
0005169246 2014-08-20 No data Annual Report Annual Report 2014
0004902160 2013-07-22 No data Annual Report Annual Report 2013
0004707390 2012-08-24 No data Annual Report Annual Report 2012
0004612497 2011-08-29 No data Annual Report Annual Report 2011
0004260172 2010-08-23 No data Annual Report Annual Report 2010
0004034037 2009-09-24 No data Annual Report Annual Report 2009
0004034036 2009-09-24 No data Annual Report Annual Report 2008
0003527631 2007-08-29 No data Annual Report Annual Report 2007
0003286646 2006-08-25 No data Annual Report Annual Report 2006

Related by officers

No related officers

Related by address

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Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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