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MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC

Company Details

Entity Name: MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 28 Dec 1995
Business ALEI: 0528896
Annual report due: 31 Mar 2025
NAICS code: 621399 - Offices of All Other Miscellaneous Health Practitioners
Business address: 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 06457, United States
Mailing address: 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: daniel.lofgren@middlesexgastro.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN 2023 061195544 2024-07-16 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603445989
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 200, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing LAURA D'ANTONIO
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2022 061195544 2023-10-02 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603445989
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2023-10-02
Name of individual signing LAURA D'ANTONIO
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2021 061195544 2022-06-02 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2022-06-02
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-02
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2020 061195544 2021-07-14 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2021-07-14
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-14
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2019 061195544 2020-07-23 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2018 061195544 2019-07-30 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 401 K PROFIT SHARING PLAN 2017 061195544 2018-05-18 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2018-05-18
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC PROFIT SHARING PLAN 2016 061195544 2017-06-19 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC PROFIT SHARING PLAN 2015 061195544 2016-05-27 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2016-05-27
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC PROFIT SHARING PLAN 2014 061195544 2015-07-13 MIDDLESEX GASTROENTEROLOGY ASSOCIATES, LLC 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8603474620
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 064574777

Signature of

Role Plan administrator
Date 2015-07-13
Name of individual signing REGINA BROWN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Daniel Lofgren Agent 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 06457, United States 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 06457, United States +1 860-575-5426 daniel.lofgren@middlesexgastro.com 29 Christina Ct, Clinton, CT, 06413-1054, United States

Officer

Name Role Business address Residence address
Mario Ricci Officer 410 SAYBROOK ROAD, SUITE 201, MIDDLETOWN, CT, 06457, United States 730 Farmington Ave, 302, West Hartford, CT, 06119-3707, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0001081 Clinical Laboratory APPROVED CURRENT 2022-11-29 2025-01-01 2026-12-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012389237 2024-02-19 No data Annual Report Annual Report No data
BF-0011396645 2023-02-20 No data Annual Report Annual Report No data
BF-0010289195 2022-03-07 No data Annual Report Annual Report 2022
0007194131 2021-03-01 No data Annual Report Annual Report 2021
0006764998 2020-02-20 No data Annual Report Annual Report 2019
0006765043 2020-02-20 No data Annual Report Annual Report 2020
0006027975 2018-01-23 No data Annual Report Annual Report 2018
0005969896 2017-11-21 No data Annual Report Annual Report 2017
0005709398 2016-12-01 No data Annual Report Annual Report 2016
0005499450 2016-03-03 No data Annual Report Annual Report 2015

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website