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  5. COMMUNITY MEDICAL GROUP, INC.

COMMUNITY MEDICAL GROUP, INC.

Company Details

Entity Name: COMMUNITY MEDICAL GROUP, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 24 Nov 1986
Business ALEI: 0191035
Annual report due: 24 Nov 2025
NAICS code: 541990 - All Other Professional, Scientific, and Technical Services
Business address: 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States
Mailing address: 116 Washington Avenue, 3rd Floor, North Haven, CT, United States, 06473
ZIP code: 06473
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: jcammarano@communitymedgroup.org
E-Mail: jennifer.cammarano@priviahealth.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2022 061201412 2023-11-27 COMMUNITY MEDICAL GROUP, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 116 WASHINGTON AVE., 3RD FLOOR, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2023-11-27
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2022 061201412 2023-05-10 COMMUNITY MEDICAL GROUP, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 116 WASHINGTON AVE., 3RD FLOOR, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2023-05-10
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2021 061201412 2022-07-13 COMMUNITY MEDICAL GROUP, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 116 WASHINGTON AVE., 3RD FLOOR, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2020 061201412 2021-05-14 COMMUNITY MEDICAL GROUP, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 265 CHURCH STREET, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2021-05-14
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-14
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2019 061201412 2020-06-29 COMMUNITY MEDICAL GROUP, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 265 CHURCH STREET, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-29
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2018 061201412 2019-06-06 COMMUNITY MEDICAL GROUP, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 265 CHURCH STREET, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401(K) PLAN 2017 061201412 2018-05-09 COMMUNITY MEDICAL GROUP, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 265 CHURCH STREET, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2018-05-09
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401K PLAN 2016 061201412 2017-06-26 COMMUNITY MEDICAL GROUP, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address ONE CENTURY TOWER, 265 CHURCH STREET, 14TH FLOOR, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing MARK ARESCO
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401K PLAN 2015 061201412 2016-10-11 COMMUNITY MEDICAL GROUP, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 234 CHRUCH ST, 5TH FLOOR, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing CAROLYN KUPEC
Valid signature Filed with authorized/valid electronic signature
COMMUNITY MEDICAL GROUP, INC. 401K PLAN 2014 061201412 2015-08-04 COMMUNITY MEDICAL GROUP, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621399
Sponsor’s telephone number 2036874422
Plan sponsor’s address 234 CHRUCH ST, 5TH FLOOR, NEW HAVEN, CT, 06510

Signature of
Role Plan administrator
Date 2015-08-04
Name of individual signing CAROLYN KUPEC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Phone E-Mail Residence address
JOSEPH L. QUARANTA M.D. Agent 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States +1 203-676-5994 jquaranta@communitymedgroup.org 54 HAMPTON CLOSE, ORANGE, CT, 06477, United States

Officer

Name Role Business address Phone E-Mail Residence address
JOSEPH L. QUARANTA M.D. Officer 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States +1 203-676-5994 jquaranta@communitymedgroup.org 54 HAMPTON CLOSE, ORANGE, CT, 06477, United States
AGNES CZIBULKA MD Officer 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States No data No data 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States
ALAN SIEGAL MD Officer 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States No data No data 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States

Director

Name Role Business address Residence address
AGNES CZIBULKA MD Director 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States
ALAN SIEGAL MD Director 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States

History

Type Old value New value Date of change
Name change NEW HAVEN COMMUNITY MEDICAL GROUP, INC. COMMUNITY MEDICAL GROUP, INC. 2014-08-05
Name change YALE-NEW HAVEN COMMUNITY MEDICAL GROUP, INC. NEW HAVEN COMMUNITY MEDICAL GROUP, INC. 2012-08-30
Name change YALE-NEW HAVEN MEDICAL STAFF IPA, INC. YALE-NEW HAVEN COMMUNITY MEDICAL GROUP, INC. 2007-06-29

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012279402 2024-10-25 No data Annual Report Annual Report No data
BF-0011383807 2023-10-30 No data Annual Report Annual Report No data
BF-0010214743 2022-10-28 No data Annual Report Annual Report 2022
BF-0009821935 2021-10-25 No data Annual Report Annual Report No data
0006999184 2020-10-12 No data Annual Report Annual Report 2020
0006655471 2019-10-04 No data Annual Report Annual Report 2019
0006262772 2018-10-23 No data Annual Report Annual Report 2018
0005948910 2017-10-20 No data Annual Report Annual Report 2017
0005699489 2016-11-18 No data Annual Report Annual Report 2016
0005595772 2016-07-05 No data Change of Agent Address Agent Address Change No data

Related by officers

AGNES CZIBULKA MD

INTEGRATED PHYSICIANS COMMUNITY MEDICAL GROUP, INC.

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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