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  5. MID-STATE NEPHROLOGY ASSOCIATES, P.C.

MID-STATE NEPHROLOGY ASSOCIATES, P.C.

Company Details

Entity Name: MID-STATE NEPHROLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 10 Jan 1985
Business ALEI: 0164773
Annual report due: 10 Jan 2026
NAICS code: 621492 - Kidney Dialysis Centers
Business address: 535 SAYBROOK RD, MIDDLETOWN, CT, 06457, United States
Mailing address: 535 SAYBROOK RD, 5, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: midstate@midstatenephrology.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 061124214 2016-09-15 MID STATE NEPHROLOGY ASSOCIATES, P.C. 8
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 061124214 2016-09-20 MID STATE NEPHROLOGY ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 061124214 2014-12-23 MID STATE NEPHROLOGY ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2014-12-23
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 061124214 2014-09-09 MID STATE NEPHROLOGY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2014-09-09
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2011 061124214 2013-08-07 MID STATE NEPHROLOGY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061124214
Plan administrator’s name MID STATE NEPHROLOGY ASSOCIATES, P.C.
Plan administrator’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603448606

Signature of
Role Plan administrator
Date 2013-08-07
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2010 061124214 2012-08-15 MID STATE NEPHROLOGY ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8603448606
Plan sponsor’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061124214
Plan administrator’s name MID STATE NEPHROLOGY ASSOCIATES, P.C.
Plan administrator’s address 85 CHURCH STREET, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603448606

Signature of
Role Plan administrator
Date 2012-08-13
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature
MID STATE NEPHROLOGY ASSOCIATES, P.C. EMPLOYEES PROFIT SHARING PLAN 2009 061124214 2011-01-24 MID STATE NEPHROLOGY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1988-12-01
Business code 621111
Sponsor’s telephone number 8605264630
Plan sponsor’s address P.O. BOX 669, ESSEX, CT, 06426

Plan administrator’s name and address
Administrator’s EIN 061124214
Plan administrator’s name MID STATE NEPHROLOGY ASSOCIATES, P.C.
Plan administrator’s address P.O. BOX 669, ESSEX, CT, 06426
Administrator’s telephone number 8605264630

Signature of
Role Plan administrator
Date 2011-01-23
Name of individual signing DAVID MINER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DAVID MINER Agent 535 SAYBROOK RD, MIDDLETOWN, CT, 06457, United States 535 SAYBROOK RD, 5, MIDDLETOWN, CT, 06457, United States +1 203-200-9383 midstate@midstatenephrology.com 857 HADDAM QUARTER ROAD, DURHAM, CT, 06422, United States

Director

Name Role Business address Residence address
DAVID J. MINER MD Director 535 SAYBROOK RD, MIDDLETOWN, CT, 06457, United States 857 HADDAM QUARTER ROAD, DURHAM, CT, 06422, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012906544 2024-12-11 No data Annual Report Annual Report No data
BF-0012050017 2023-12-11 No data Annual Report Annual Report No data
BF-0011077921 2022-12-15 No data Annual Report Annual Report No data
BF-0010170678 2022-01-08 No data Annual Report Annual Report 2022
0007219885 2021-03-11 No data Annual Report Annual Report 2021
0006734295 2020-01-28 No data Annual Report Annual Report 2020
0006734288 2020-01-28 No data Annual Report Annual Report 2018
0006734291 2020-01-28 No data Annual Report Annual Report 2019
0005759761 2017-02-02 No data Annual Report Annual Report 2017
0005517986 2016-03-21 No data Annual Report Annual Report 2016

Related by officers

No related officers

Related by address

535 SAYBROOK RD, MIDDLETOWN, CT, 06457, United States

LAWRENCE B. GELB, D.D.S., P.C.

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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