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  5. WESTPORT DENTAL ASSOCIATES, P.C.

WESTPORT DENTAL ASSOCIATES, P.C.

Company Details

Entity Name: WESTPORT DENTAL ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 20 Jul 1984
Business ALEI: 0158938
Annual report due: 20 Jul 2025
NAICS code: 621210 - Offices of Dentists
Business address: 329 RIVERSIDE AVENUE, WESTPORT, CT, 06880, United States
Mailing address: 329 RIVERSIDE AVENUE, WESTPORT, CT, United States, 06880
ZIP code: 06880
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: drafreeman@westportdental.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2022 061113896 2023-05-08 WESTPORT DENTAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVENUE, WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2023-05-08
Name of individual signing ADAM J FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2021 061113896 2022-06-28 WESTPORT DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVENUE, WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing ADAM J FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2020 061113896 2021-10-11 WESTPORT DENTAL ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2019 061113896 2020-07-01 WESTPORT DENTAL ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2018 061113896 2019-07-19 WESTPORT DENTAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-18
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2017 061113896 2018-08-02 WESTPORT DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2018-08-02
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-02
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2016 061113896 2017-07-31 WESTPORT DENTAL ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 329 RIVERSIDE AVE., WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2015 061113896 2016-07-26 WESTPORT DENTAL ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 22 IMPERIAL AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2014 061113896 2015-06-23 WESTPORT DENTAL ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 22 IMPERIAL AVE., WESTPORT, CT, 068804395

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-23
Name of individual signing ADAM FREEMAN
Valid signature Filed with authorized/valid electronic signature
WESTPORT DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 061113896 2014-07-23 WESTPORT DENTAL ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1982-01-01
Business code 621210
Sponsor’s telephone number 2032273709
Plan sponsor’s address 22 IMPERIAL AVENUE, WESTPORT, CT, 06880

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing BRIAN DUCHAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing BRIAN DUCHAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ADAM JONATHAN FREEMAN Agent 329 RIVERSIDE AVE, WESTPORT, CT, 06880, United States 329 RIVERSIDE AVENUE, WESTPORT, CT, 06880, United States +1 203-247-1923 drafreeman@westportdental.com 132 CASTLE HILL ROAD, NEWTOWN, CT, 06470, United States

Officer

Name Role Business address Phone E-Mail Residence address
ADAM JONATHAN FREEMAN Officer 329 RIVERSIDE AVENUE, WESTPORT, CT, 06880, United States +1 203-247-1923 drafreeman@westportdental.com 132 CASTLE HILL ROAD, NEWTOWN, CT, 06470, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012049977 2024-06-27 No data Annual Report Annual Report No data
BF-0011078582 2023-06-22 No data Annual Report Annual Report No data
BF-0010314206 2022-06-20 No data Annual Report Annual Report 2022
BF-0009759787 2021-06-23 No data Annual Report Annual Report No data
0006920608 2020-06-09 No data Annual Report Annual Report 2020
0006649110 2019-09-23 2019-09-23 Change of Agent Agent Change No data
0006581352 2019-06-20 No data Annual Report Annual Report 2019
0006197965 2018-06-12 No data Annual Report Annual Report 2018
0005994104 2018-01-02 No data Annual Report Annual Report 2017
0005994100 2018-01-02 No data Annual Report Annual Report 2016

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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