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  5. BRISTOL ORTHOPAEDICS LLC

BRISTOL ORTHOPAEDICS LLC

Company Details

Entity Name: BRISTOL ORTHOPAEDICS LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 02 Jun 1995
Business ALEI: 0515981
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 641 CLARK AVE, BRISTOL, CT, 06010, United States
Mailing address: 641 CLARK AVE, BRISTOL, CT, United States, 06010
ZIP code: 06010
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: donna@bristolortho.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2017 061425704 2018-10-05 BRISTOL ORTHOPAEDICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2016 061425704 2017-10-13 BRISTOL ORTHOPAEDICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2015 061425704 2016-10-13 BRISTOL ORTHOPAEDICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2014 061425704 2015-05-20 BRISTOL ORTHOPAEDICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2013 061425704 2014-07-31 BRISTOL ORTHOPAEDICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2012 061425704 2013-07-12 BRISTOL ORTHOPAEDICS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2011 061425704 2012-07-18 BRISTOL ORTHOPAEDICS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2010 061425704 2011-04-27 BRISTOL ORTHOPAEDICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature
BRISTOL ORTHOPAEDICS, LLC PROFIT SHARING PLAN 2009 061425704 2010-10-08 BRISTOL ORTHOPAEDICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 8605826603
Plan sponsor’s address 641 CLARK AVENUE, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061425704
Plan administrator’s name BRISTOL ORTHOPAEDICS, LLC
Plan administrator’s address 641 CLARK AVENUE, BRISTOL, CT, 06010
Administrator’s telephone number 8605826603

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing SCOTT ORGAN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MICHAEL E CUCKA Agent 641 CLARK AVE STE B, BRISTOL, CT, 06010, United States 54 SUFFOLK PLACE, BRISTOL, CT, 06010, United States +1 860-597-8791 donna@bristolortho.com 54 SUFFOLK PLACE, BRISTOL, CT, 06010, United States

Officer

Name Role Business address Residence address
MICHAEL E CUCKA MD Officer 641 CLARK AVE, BRISTOL, CT, 06010, United States 54 SUFFOLK PLACE, BRISTOL, CT, 06010, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012360991 2024-01-16 No data Annual Report Annual Report No data
BF-0012526559 2024-01-08 2024-01-08 Amendment Certificate of Amendment No data
BF-0011255558 2023-01-17 No data Annual Report Annual Report No data
BF-0010254598 2022-03-04 No data Annual Report Annual Report 2022
0007091460 2021-02-01 No data Annual Report Annual Report 2021
0006760699 2020-02-19 No data Annual Report Annual Report 2020
0006371984 2019-02-08 No data Annual Report Annual Report 2019
0006000898 2018-01-11 No data Annual Report Annual Report 2018
0005867214 2017-06-14 No data Annual Report Annual Report 2017
0005859300 2017-06-06 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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