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  5. JOHN E. RIVERA, M.D., P.C.

JOHN E. RIVERA, M.D., P.C.

Company Details

Entity Name: JOHN E. RIVERA, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 02 Dec 1987
Date of dissolution: 23 Dec 2013
Business ALEI: 0209839
Annual report due: 30 Dec 2013
Business address: 1753 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT, 06467
Mailing address: PO BOX 770, MILLDALE, CT, 06467
ZIP code: 06467
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: riverajw@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOHN E. RIVERA, M.D. P.C. 401K PROFIT SHARING PLAN 2012 061217250 2013-09-16 JOHN E. RIVERA, M.D., P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606215554
Plan sponsor’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467

Plan administrator’s name and address
Administrator’s EIN 061217250
Plan administrator’s name JOHN E. RIVERA, M.D., P.C.
Plan administrator’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467
Administrator’s telephone number 8606215554

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing JOHN E. RIVERA, M.D.
Valid signature Filed with authorized/valid electronic signature
JOHN E. RIVERA, M.D. P.C. 401K PROFIT SHARING PLAN 2012 061217250 2013-05-16 JOHN E. RIVERA, M.D., P.C. 16
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606215554
Plan sponsor’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467

Plan administrator’s name and address
Administrator’s EIN 061217250
Plan administrator’s name JOHN E. RIVERA, M.D., P.C.
Plan administrator’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467
Administrator’s telephone number 8606215554

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing JOHN E. RIVERA, M.D.
Valid signature Filed with authorized/valid electronic signature
JOHN E. RIVERA, M.D. P.C. 401K PROFIT SHARING PLAN 2011 061217250 2012-10-09 JOHN E. RIVERA, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606215554
Plan sponsor’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467

Plan administrator’s name and address
Administrator’s EIN 061217250
Plan administrator’s name JOHN E. RIVERA, M.D., P.C.
Plan administrator’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 06467
Administrator’s telephone number 8606215554

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing JOHN E. RIVERA, M.D.
Valid signature Filed with authorized/valid electronic signature
JOHN E. RIVERA, M.D. P.C. 401K PROFIT SHARING PLAN 2010 061217250 2011-10-11 JOHN E. RIVERA, M.D., P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606215554
Plan sponsor’s address 1753 MERIDEN WTRBRY RD, PO BOX 770, MILLDALE, CT, 064670000000

Plan administrator’s name and address
Administrator’s EIN 061217250
Plan administrator’s name JOHN E. RIVERA, M.D., P.C.
Plan administrator’s address 1753 MERIDEN WTRBRY RD, MILLDALE, CT, 064670000000
Administrator’s telephone number 8606215554

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing JOHN E. RIVERA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
JOHN E. RIVERA Agent 1668 MERIDENWATERBURYTPK, MILLDALE, CT, 06467, United States riverajw@gmail.com 15 EAST MOUNTAIN DR., SOUTHINGTON, CT, 06489, United States

Officer

Name Role Business address Residence address
JOHN EDWIN RIVERA Officer 1753 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT, 06467, United States 1591 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States
WENDY LEE RIVERA Officer 1753 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT, 06467, United States 1591 MERIDEN AVENUE, SOUTHINGTON, CT, 06489, United States

History

Type Old value New value Date of change
Name change SOUTHINGTON FAMILY MEDICAL CENTER, P.C. JOHN E. RIVERA, M.D., P.C. 1988-01-25

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005005929 2013-12-23 2013-12-23 Dissolution Certificate of Dissolution No data
0004752082 2012-11-26 No data Annual Report Annual Report 2012
0004657578 2011-12-01 No data Annual Report Annual Report 2011
0004356974 2010-12-17 No data Annual Report Annual Report 2010
0004082823 2009-12-07 No data Annual Report Annual Report 2009
0003832131 2008-11-19 No data Annual Report Annual Report 2008
0003595079 2007-12-19 No data Annual Report Annual Report 2007
0003350495 2006-12-11 No data Annual Report Annual Report 2006
0003134314 2005-12-22 No data Annual Report Annual Report 2005
0002959888 2004-12-23 2004-12-23 Annual Report Annual Report 2004

Related by officers

JOHN E. RIVERA

1724 MERIDEN-WATERBURY ROAD, LLC

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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