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  5. DRYSGULA FAMILY DENTISTRY, LLC

DRYSGULA FAMILY DENTISTRY, LLC

Company Details

Entity Name: DRYSGULA FAMILY DENTISTRY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 20 Dec 1996
Business ALEI: 0550271
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 775 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States
Mailing address: 775 WASHINGTON ST., MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: grtteeth@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2019 061467566 2021-04-16 DRYSGULA FAMILY DENTISTRY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2021-04-16
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2019 061467566 2020-05-18 DRYSGULA FAMILY DENTISTRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2020-05-18
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2018 061467566 2019-07-19 DRYSGULA FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2019-07-19
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2017 061467566 2018-07-23 DRYSGULA FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2016 061467566 2017-06-24 DRYSGULA FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2017-06-24
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2015 061467566 2016-07-22 DRYSGULA FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2014 061467566 2015-07-27 DRYSGULA FAMILY DENTISTRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing PROGOLFER1956
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing PROGOLFER1956
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2013 061467566 2014-06-04 DRYSGULA FAMILY DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2014-06-04
Name of individual signing EDWARD S DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-04
Name of individual signing EDWARD S DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2012 061467566 2013-07-10 DRYSGULA FAMILY DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing EDWARD S. DRYSGULA JR DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing EDWARD S. DRYSGULA JR DMD
Valid signature Filed with authorized/valid electronic signature
DRYSGULA FAMILY DENTISTRY, LLC PROFIT SHARING PLAN 2011 061467566 2012-04-27 DRYSGULA FAMILY DENTISTRY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 8603476100
Plan sponsor’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address
Administrator’s EIN 061467566
Plan administrator’s name SAME
Plan administrator’s address 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603476100

Signature of
Role Plan administrator
Date 2012-04-27
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-27
Name of individual signing EDWARD S. DRYSGULA JR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Edward S Drysgula Jr Agent 775 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States 775 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States +1 860-305-4010 grtteeth@gmail.com 94 Old Farms W, Middletown, CT, 06457-7500, United States

Officer

Name Role Business address Residence address
EDWARD DRYSGULAJR.DMD Officer 775 WASHINGTON ST., MIDDLETOWN, CT, 06457, United States 94 OLD FARMS WEST, MIDDLETOWN, CT, 06457, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012566009 2024-03-09 No data Annual Report Annual Report No data
BF-0011260841 2023-03-14 No data Annual Report Annual Report No data
BF-0010790242 2023-03-14 No data Annual Report Annual Report No data
BF-0009938800 2023-03-14 No data Annual Report Annual Report No data
BF-0008364056 2023-03-14 No data Annual Report Annual Report 2018
BF-0008364053 2023-03-14 No data Annual Report Annual Report 2020
BF-0008364054 2023-03-14 No data Annual Report Annual Report 2019
BF-0008364055 2023-03-14 No data Annual Report Annual Report 2017
BF-0008364052 2023-03-01 No data Annual Report Annual Report 2016
BF-0011676804 2023-01-24 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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