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  5. CONNECTICUT MAXILLOFACIAL SURGEONS, LLC.

CONNECTICUT MAXILLOFACIAL SURGEONS, LLC.

Company Details

Entity Name: CONNECTICUT MAXILLOFACIAL SURGEONS, LLC.
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 19 May 1994
Business ALEI: 0500393
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 291 FARMINGTON AVENUE, Farmington, CT, 06032, United States
Mailing address: 507 HOPMEADOW STREET, SIMSBURY, CT, United States, 06070
ZIP code: 06032
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: CTMAX.ADMIN@CTMAXILLOFACIAL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2023 061396982 2024-06-27 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2024-06-26
Name of individual signing SHAWN BIP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-26
Name of individual signing SHAWN BIP
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2022 061396982 2023-06-08 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2023-06-07
Name of individual signing SHAWN BIP
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-07
Name of individual signing SHAWN BIP
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2021 061396982 2022-05-16 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2022-05-16
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-16
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2020 061396982 2021-05-11 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC DEFINED BENEFIT PLAN 2019 061396982 2020-10-09 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-09
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2019 061396982 2020-09-03 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2020-09-03
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-03
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC DEFINED BENEFIT PLAN 2019 061396982 2021-04-06 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2021-04-06
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-06
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC DEFINED BENEFIT PLAN 2018 061396982 2019-10-14 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 401(K) PROFIT SHARING PLAN 2018 061396982 2019-05-14 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW ST, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2019-05-14
Name of individual signing DAVID A. GALBRAITH, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-14
Name of individual signing DAVID A. GALBRAITH, DMD
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MAXILLOFACIAL SURGEONS, LLC DEFINED BENEFIT PLAN 2017 061396982 2018-10-11 CONNECTICUT MAXILLOFACIAL SURGEONS, LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606580446
Plan sponsor’s address 507 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing VICTORIA PANDISCIO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
IAN CHARLES TINGEY Agent 291 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 507 HOPMEADOW STREET, SIMSBURY, CT, 06070, United States +1 860-966-1901 ict@ctmaxillofacial.com 37 BANTRY ROAD, SIMSBURY, CT, 06070, United States

Officer

Name Role Business address Residence address
IAN CHARLES TINGEY DDS Officer 291 FARMINGTON AVENUE, FARMINGTON, CT, 06032, United States 37 BANTRY ROAD, SIMSBURY, CT, 06070, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012398819 2024-01-18 No data Annual Report Annual Report No data
BF-0011394296 2023-01-30 No data Annual Report Annual Report No data
BF-0010363531 2022-07-22 No data Annual Report Annual Report 2022
0007298849 2021-04-14 No data Annual Report Annual Report 2021
0006928077 2020-06-19 No data Annual Report Annual Report 2020
0006443047 2019-03-11 No data Annual Report Annual Report 2019
0006056630 2018-02-06 No data Annual Report Annual Report 2018
0005830863 2017-05-02 No data Annual Report Annual Report 2017
0005772761 2017-02-23 No data Annual Report Annual Report 2013
0005772775 2017-02-23 No data Annual Report Annual Report 2016

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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