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SHORELINE EYE ASSOCIATES, P.C.

Company Details

Entity Name: SHORELINE EYE ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 08 Nov 1995
Business ALEI: 0525016
Annual report due: 08 Nov 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 515 BOSTON STREET, GUILFORD, CT, 06437, United States
Mailing address: 515 BOSTON STREET, GUILFORD, CT, United States, 06437
ZIP code: 06437
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: hdistelman@shorelineeye.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2023 061439978 2024-07-26 SHORELINE EYE ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2024-07-26
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2022 061439978 2023-10-07 SHORELINE EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2023-10-07
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2021 061439978 2022-10-07 SHORELINE EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2022-10-07
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2020 061439978 2021-10-02 SHORELINE EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2021-10-02
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2019 061439978 2020-02-29 SHORELINE EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2020-02-29
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2018 061439978 2019-02-12 SHORELINE EYE ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2019-02-12
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2017 061439978 2018-06-01 SHORELINE EYE ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2018-06-01
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2016 061439978 2017-08-26 SHORELINE EYE ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2017-08-26
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature
SHORELINE EYE ASSOCIATES, P.C. EMPLOYEES' 401(K) PROFIT SHARING PLAN 2015 061439978 2016-10-01 SHORELINE EYE ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-10-01
Business code 621111
Sponsor’s telephone number 2034533100
Plan sponsor’s address 515 BOSTON STREET, GUILFORD, CT, 06437

Signature of

Role Plan administrator
Date 2016-10-01
Name of individual signing HOWARD DISTELMAN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ELLEN FRANK Officer 371 BARTLETT DRIVE, MADISON, CT, 06443, United States 371 BARTLETT DRIVE, MADISON, CT, 06443, United States
Howard L. Distelman Officer 515 BOSTON STREET, GUILFORD, CT, 06437, United States 371 Bartlett Drive, Madison, CT, 06443, United States
HOWARD L. DISTELMAN Officer 515 BOSTON STREET, GUILFORD, CT, 06437, United States 371 BARTLETT DR, MADISON, CT, 06443, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JENNIFER D DEAKIN Agent 271 WHITNEY AVE, NEW HAVEN, CT, 06511, United States 271 WHITNEY AVE, NEW HAVEN, CT, 06511, United States +1 203-605-8116 jdeakin@bswlaw.com 146 ARMORY ST, HAMDEN, CT, 06517, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
OSP.001687 Optical Selling Permit ACTIVE CURRENT 2009-05-19 2024-09-01 2025-08-31
OSP.001600 Optical Selling Permit ACTIVE IN RENEWAL CURRENT 1999-11-16 2023-09-01 2024-08-31

History

Type Old value New value Date of change
Name change HOWARD L. DISTELMAN, M.D., P.C. SHORELINE EYE ASSOCIATES, P.C. 1995-12-01

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012292952 2024-10-11 No data Annual Report Annual Report No data
BF-0011259557 2023-10-12 No data Annual Report Annual Report No data
BF-0010308982 2022-10-10 No data Annual Report Annual Report 2022
BF-0010135452 2021-10-25 No data Interim Notice Interim Notice No data
BF-0009823976 2021-10-24 No data Annual Report Annual Report No data
0006998732 2020-10-10 No data Annual Report Annual Report 2020
0006885279 2020-04-16 No data Annual Report Annual Report 2018
0006885312 2020-04-16 No data Annual Report Annual Report 2019
0005955319 2017-10-26 No data Annual Report Annual Report 2017
0005694585 2016-11-12 No data Annual Report Annual Report 2016

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website