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  5. ROBERT S. WETMORE, M.D., P.C.

ROBERT S. WETMORE, M.D., P.C.

Company Details

Entity Name: ROBERT S. WETMORE, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Sub status: Ready for Forfeiture
Date Formed: 26 Jun 1986
Business ALEI: 0186682
Annual report due: 26 Jun 2022
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States
Mailing address: 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, United States, 06762
ZIP code: 06762
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 4000
E-Mail: wetmoreortho@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT S. WETMORE, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 061172823 2020-07-15 ROBERT S. WETMORE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing ROBERT WETMORE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 061172823 2019-07-09 ROBERT S. WETMORE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2019-07-08
Name of individual signing ROBERT WETMORE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 061172823 2018-06-22 ROBERT S. WETMORE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing ROBERT WETMORE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 061172823 2017-07-12 ROBERT S. WETMORE, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing ROBERT WETMORE
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 061172823 2016-06-05 ROBERT S. WETMORE, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. PROFIT SHARING PLAN 2013 061172823 2015-04-10 ROBERT S. WETMORE, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2015-04-09
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. PROFIT SHARING PLAN 2012 061172823 2014-06-16 ROBERT S. WETMORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. PROFIT SHARING PLAN 2011 061172823 2013-06-17 ROBERT S. WETMORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Plan administrator’s name and address
Administrator’s EIN 061172823
Plan administrator’s name ROBERT S. WETMORE, M.D., P.C.
Plan administrator’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835
Administrator’s telephone number 2037581760

Signature of
Role Plan administrator
Date 2013-06-14
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. PROFIT SHARING PLAN 2010 061172823 2012-06-26 ROBERT S. WETMORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Plan administrator’s name and address
Administrator’s EIN 061172823
Plan administrator’s name ROBERT S. WETMORE, M.D., P.C.
Plan administrator’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835
Administrator’s telephone number 2037581760

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature
ROBERT S. WETMORE, M.D., P.C. PROFIT SHARING PLAN 2009 061172823 2011-07-07 ROBERT S. WETMORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 2037581760
Plan sponsor’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835

Plan administrator’s name and address
Administrator’s EIN 061172823
Plan administrator’s name ROBERT S. WETMORE, M.D., P.C.
Plan administrator’s address 1579 STRAITS TURNPIKE - SUITE E1, TURNPIKE OFFICE PARK, MIDDLEBURY, CT, 067621835
Administrator’s telephone number 2037581760

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing ROBERT WETMORE MD. PC.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SHERMAN H. KREVOLIN Agent 59 ELM ST, NEW HAVEN, CT, 06510, United States 59 ELM ST, NEW HAVEN, CT, 06510, United States +1 860-306-0698 spescetelli@yahoo.com 11 GROVE HILL RD, WOODBRIDGE, CT, 06525, United States

Officer

Name Role Business address Phone E-Mail Residence address
SHERMAN H. KREVOLIN Officer 195 CHURCH STR, 13TH FLOOR, NEW HAVEN, CT, 06510, United States +1 860-306-0698 spescetelli@yahoo.com 11 GROVE HILL RD, WOODBRIDGE, CT, 06525, United States
ROBERT S. WETMORE M.D. Officer 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States No data No data 5 MANSFIELD GROVE ROAD, UNIT 142, EAST HAVEN, CT, 06512, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012774083 2024-09-26 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0012664513 2024-06-13 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0008043240 2021-12-13 No data Annual Report Annual Report 2019
BF-0008043241 2021-12-13 No data Annual Report Annual Report 2020
BF-0009883130 2021-12-13 No data Annual Report Annual Report No data
0006204820 2018-06-21 No data Annual Report Annual Report 2018
0005873055 2017-06-22 No data Annual Report Annual Report 2017
0005580535 2016-06-03 No data Annual Report Annual Report 2016
0005347635 2015-06-12 No data Annual Report Annual Report 2015
0005125674 2014-06-13 No data Annual Report Annual Report 2014

Related by officers

SHERMAN H. KREVOLIN

SEPREH, INC. R.A.L., INC. MGM OF WILLIMANTIC, INC. MGM RESTAURANT GROUP, INC. MGM OF PLAINFIELD, INC. MGM OF PUTNAM, INC. MGM OF GROTON, INC. KREVOLIN & DONATO, P.C. CONNECTICUT RETINA CONSULTANTS, P.C.

Related by address

1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States

KEGGI BIOMEDIC, INC. ACTIVE ORTHOPAEDICS, P.C. SCORE WELLNESS CENTER, LLC ORTHOPAEDIC OFFICES OF MIDDLEBURY, LLC SCORE, L.L.C. ACTIVE ORTHOPAEDIC SURGERY CENTER PARTNERS, LLC MDDK, LLC PERFORMANCE GOLF REHAB LLC

1579 STRAITS TURNPIKE, MIDDLEBURY, CT, United States, 06762

KEGGI BIOMEDIC, INC. ACTIVE ORTHOPAEDICS, P.C. SCORE WELLNESS CENTER, LLC SCORE, L.L.C. ACTIVE ORTHOPAEDIC SURGERY CENTER PARTNERS, LLC

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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