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SURGI-CENTER ANESTHESIOLOGISTS, P.C.

Company Details

Entity Name: SURGI-CENTER ANESTHESIOLOGISTS, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Mar 1987
Date of dissolution: 16 Jan 2018
Business ALEI: 0195687
Annual report due: 27 Mar 2018
Business address: 160 ROBBINS ST, WATERBURY, CT, 06708
Mailing address: 230 SPRUCE ST, SOUTHPORT, CT, 06890
ZIP code: 06708
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: CATHERINE@JPALSA.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 061200249 2019-06-28 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2019-06-28
Name of individual signing ROBERT BLOUIN
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2017 061200249 2018-06-27 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2018-06-27
Name of individual signing ROBERT BLOUIN
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2016 061200249 2017-10-10 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2017-10-10
Name of individual signing ROBERT BLOUIN
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2015 061200249 2016-10-14 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing ROBERT BLOUIN
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 061200249 2015-10-14 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing ROBERT BLOUIN
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2013 061200249 2014-09-17 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2014-09-17
Name of individual signing WILLIAM TURLEY
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2012 061200249 2013-08-19 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2013-08-19
Name of individual signing WILLIAM TURLEY
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2011 061200249 2012-10-11 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 061200249
Plan administrator’s name SURGI-CENTER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address 160 ROBBINS STREET, WATERBURY, CT, 06708
Administrator’s telephone number 2037556663

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing WILLIAM TURLEY
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2010 061200249 2011-10-06 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 061200249
Plan administrator’s name SURGI-CENTER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address 160 ROBBINS STREET, WATERBURY, CT, 06708
Administrator’s telephone number 2037556663

Signature of

Role Plan administrator
Date 2011-10-06
Name of individual signing WILLIAM TURLEY
Valid signature Filed with authorized/valid electronic signature
SURGI-CENTER ANESTHESIOLOGISTS, P.C. 401(K) PROFIT SHARING PLAN 2009 061200249 2010-10-05 SURGI-CENTER ANESTHESIOLOGISTS, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2037556663
Plan sponsor’s address 160 ROBBINS STREET, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 061200249
Plan administrator’s name SURGI-CENTER ANESTHESIOLOGISTS, P.C.
Plan administrator’s address 160 ROBBINS STREET, WATERBURY, CT, 06708
Administrator’s telephone number 2037556663

Signature of

Role Plan administrator
Date 2010-10-05
Name of individual signing WILLIAM TURLEY
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
DAVID VOGEL M.D. Officer 160 ROBBINS ST, WATERBURY, CT, 06708, United States 638 PATRIOT RD., SOUTHBURY, CT, 06488, United States
WILLIAM TURLEY Officer 160 ROBBINS ST, WATERBURY, CT, 06708, United States 112 RICHMOND LN, WEST HARTFORD, CT, 06117, United States

Agent

Name Role Business address E-Mail Residence address
DAVID WAYNE WINTERS ESQ. Agent SUITE 102, 315 HIGHLAND AVE, CHESHIRE, CT, 06410, United States CATHERINE@JPALSA.COM 60 ROYALWOOD COURT, CHESHIRE, CT, 06410, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006009405 2018-01-16 2018-01-16 Dissolution Certificate of Dissolution No data
0005782160 2017-03-04 No data Annual Report Annual Report 2015
0005782161 2017-03-04 No data Annual Report Annual Report 2016
0005782163 2017-03-04 No data Annual Report Annual Report 2017
0005075358 2014-03-29 No data Annual Report Annual Report 2014
0004809339 2013-02-26 No data Annual Report Annual Report 2013
0004535576 2012-03-01 No data Annual Report Annual Report 2012
0004419994 2011-03-09 No data Annual Report Annual Report 2011
0004146367 2010-03-03 No data Annual Report Annual Report 2010
0003899889 2009-02-27 No data Annual Report Annual Report 2009

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website