| Entity Name: | MEDICAL CLAIM CORP. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Merged |
| Date Formed: | 13 Sep 1990 |
| Business ALEI: | 0252768 |
| Annual report due: | 10 Sep 2010 |
| Business address: | 88 VALLEY STREET, BRISTOL, CT, 06010 |
| ZIP code: | 06010 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | aks@cm-legal.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL CLAIM CORP. 401K PLAN | 2009 | 061306714 | 2010-10-15 | MEDICAL CLAIM CORP. | 21 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 061306714 |
| Plan administrator’s name | MEDICAL CLAIM CORP. |
| Plan administrator’s address | 88 VALLEY STREET, BRISTOL, CT, 06010 |
| Administrator’s telephone number | 9737349900 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | MICHELE LAPINSKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DAVID W. JOHNDROW | Agent | 22 PINE STREET, SUITE 304, BRISTOL, CT, 06010, United States | 22 PINE STREET, SUITE 304, BRISTOL, CT, 06010, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JONATHAN D CLEMENTE | Officer | 218 RIDGEDALE AVENUE, CEDAR KNOLLS, NJ, 07927, United States | 12 SHELLEY PLACE, MORRIS TWP, NJ, 07960, United States |
| WILLIAM BARTZAK | Officer | 4 CAMPUS DRIVE, PARSIPPANY, NJ, 07054, United States | 6 DEERFIELD ROAD, MENDHAM, NJ, 07945, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004071496 | 2009-12-28 | 2010-01-01 | Merger | Certificate of Merger | No data |
| 0003993542 | 2009-08-20 | No data | Annual Report | Annual Report | 2009 |
| 0003773194 | 2008-09-04 | No data | Annual Report | Annual Report | 2008 |
| 0003541521 | 2007-09-19 | No data | Annual Report | Annual Report | 2007 |
| 0003304767 | 2006-09-26 | No data | Annual Report | Annual Report | 2006 |
| 0003098482 | 2005-09-26 | No data | Annual Report | Annual Report | 2005 |
| 0002913405 | 2004-09-29 | No data | Annual Report | Annual Report | 2004 |
| 0002734491 | 2004-05-21 | No data | Interim Notice | Interim Notice | No data |
| 0002651682 | 2003-12-12 | 2003-12-12 | Change of Agent Address | Agent Address Change | No data |
| 0002650760 | 2003-09-29 | 2003-09-29 | Annual Report | Annual Report | 2003 |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
