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  5. NORWICH ANESTHESIA ASSOCIATES, P.C.

NORWICH ANESTHESIA ASSOCIATES, P.C.

Company Details

Entity Name: NORWICH ANESTHESIA ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Merged
Date Formed: 05 Mar 1984
Business ALEI: 0153589
Annual report due: 03 Mar 2013
Business address: 99 EAST RIVER DR. 5TH FLOOR, EAST HARTFORD, CT, 06108
ZIP code: 06108
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 10000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORWICH ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 061103005 2014-04-08 NORWICH ANESTHESIA ASSOCIATES, P.C. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 621111
Sponsor’s telephone number 8608898331
Plan sponsor’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-08
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
NORWICH ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 061103005 2013-12-16 NORWICH ANESTHESIA ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 621111
Sponsor’s telephone number 8608898331
Plan sponsor’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-16
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
NORWICH ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 061103005 2013-07-12 NORWICH ANESTHESIA ASSOCIATES, P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 621111
Sponsor’s telephone number 8608898331
Plan sponsor’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061103005
Plan administrator’s name NORWICH ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608898331

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-12
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
NORWICH ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 061103005 2012-05-31 NORWICH ANESTHESIA ASSOCIATES, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 621111
Sponsor’s telephone number 8608898331
Plan sponsor’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061103005
Plan administrator’s name NORWICH ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608898331

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature
NORWICH ANESTHESIA ASSOCIATES, P.C. PROFIT SHARING PLAN 2009 061103005 2011-05-13 NORWICH ANESTHESIA ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-04-01
Business code 621111
Sponsor’s telephone number 8608898331
Plan sponsor’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061103005
Plan administrator’s name NORWICH ANESTHESIA ASSOCIATES, P.C.
Plan administrator’s address WILLIAM W. BACKUS HOSPITAL, 326 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608898331

Signature of
Role Plan administrator
Date 2011-05-12
Name of individual signing CYNTHIA CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JAMES M. D'AMATO Agent 115 LAFAYETTE STREET, NORWICH, CT, 06360, United States 11 HERMITIAGE DRIVE, GALES FERRY, CT, 06335, United States

Officer

Name Role Business address Residence address
CYNTHIA L. CAMPBELL M.D. Officer 99 EAST RIVER DR., 5TH FLOOR, EAST HARTFORD, CT, 06108, United States 4 HARVEST LANE, COLCHESTER, CT, 06415, United States
RICHARD T. WARNER MD Officer 99 EAST RIVER DR., 5TH FLOOR, EAST HARTFORD, CT, 06108, United States 73 ANDERSON RD, POMFRET CENTER, CT, 06259, United States
JAMES M. D'AMATO M.D. Officer 99 EAST RIVER DR., 5TH FLOOR, EAST HARTFORD, CT, 06108, United States 26 CLINTON AVE., OLD SAYBROOK, CT, 06475, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0004649620 2012-05-31 2012-06-01 Merger Certificate of Merger No data
0004640968 2012-05-24 No data Annual Report Annual Report 2012
0004418262 2011-03-07 No data Annual Report Annual Report 2011
0004205272 2010-05-19 No data Annual Report Annual Report 2010
0003904086 2009-03-05 No data Annual Report Annual Report 2009
0003719906 2008-05-27 No data Annual Report Annual Report 2008
0003430461 2007-04-04 No data Annual Report Annual Report 2007
0003224984 2006-05-03 No data Annual Report Annual Report 2006
0002992380 2005-09-09 No data Interim Notice Interim Notice No data
0002973085 2005-04-12 No data Annual Report Annual Report 2005

Related by officers

RICHARD T. WARNER MD

RICHARD T. WARNER, M.D., LLC

Related by address

99 EAST RIVER DR. 5TH FLOOR, EAST HARTFORD, CT, 06108

HARTFORD ANESTHESIOLOGY ASSOCIATES FOUNDATION, INC.

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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