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  5. RICHARD P. SANTAROSA, MD, LLC

RICHARD P. SANTAROSA, MD, LLC

Company Details

Entity Name: RICHARD P. SANTAROSA, MD, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 26 May 1998
Business ALEI: 0593925
Annual report due: 31 Mar 2015
Business address: 166 WEST BROAD STREET SUITE 404, STAMFORD, CT, 06902
Mailing address: 166 W BROAD ST STE 404, STAMFORD, CT, 06902
ZIP code: 06902
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: docsantarosa@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2017 061517153 2018-06-24 RICHARD P. SANTAROSA, MD, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 59 ROCKWOOD LANE, GREENWICH, CT, 068303814

Signature of
Role Plan administrator
Date 2018-06-24
Name of individual signing RICHARD P. SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2016 061517153 2017-08-05 RICHARD P. SANTAROSA, MD, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 59 ROCKWOOD LANE, GREENWICH, CT, 068303814

Signature of
Role Plan administrator
Date 2017-08-05
Name of individual signing RICHARD P. SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2015 061517153 2017-03-30 RICHARD P. SANTAROSA, MD, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD STREET, SUITE 404, STAMFORD, CT, 069023654

Signature of
Role Plan administrator
Date 2017-03-30
Name of individual signing RICHARD P. SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2015 061517153 2016-10-17 RICHARD P. SANTAROSA, MD, LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD STREET, SUITE 404, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing SEAN W. THOMAS, ERPA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2014 061517153 2015-10-15 RICHARD P. SANTAROSA, MD, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD STREET, SUITE 404, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2013 061517153 2014-07-22 RICHARD P. SANTAROSA, MD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD ST., SUITE 404, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2012 061517153 2013-10-11 RICHARD P. SANTAROSA, MD, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD ST., SUITE 404, STAMFORD, CT, 06902

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
RICHARD P. SANTAROSA, MD, LLC 401(K) PROFIT SHARING PLAN 2011 061517153 2012-10-03 RICHARD P. SANTAROSA, MD, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2033569391
Plan sponsor’s address 166 WEST BROAD ST., SUITE 404, STAMFORD, CT, 06902

Plan administrator’s name and address
Administrator’s EIN 061517153
Plan administrator’s name RICHARD P. SANTAROSA, MD, LLC
Plan administrator’s address 166 WEST BROAD ST., SUITE 404, STAMFORD, CT, 06902
Administrator’s telephone number 2033569391

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing RICHARD SANTAROSA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
WILLIAM M. ROGERS CPA Agent 3190 WHITNEY AVE, BLDG 7, HAMDEN, CT, 06518, United States docsantarosa@gmail.com 6 CHESTNUT LANE, WALLINGFORD, CT, 06492, United States

Officer

Name Role Business address Residence address
RICHARD PAUL SANTAROSA MD Officer 166 W. BROAD ST, SUITE 404, STAMFORD, CT, 06902, United States 59 ROCKWOOD LANE, GREENWICH, CT, 06830, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011706060 2023-02-21 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011082754 2022-11-17 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005569907 2016-05-19 No data Annual Report Annual Report 2014
0005010807 2013-12-30 No data Annual Report Annual Report 2011
0005010784 2013-12-30 No data Annual Report Annual Report 2009
0005010813 2013-12-30 No data Annual Report Annual Report 2013
0005010810 2013-12-30 No data Annual Report Annual Report 2012
0005010800 2013-12-30 No data Annual Report Annual Report 2010
0003713526 2008-05-09 No data Annual Report Annual Report 2008
0003485965 2007-06-25 No data Annual Report Annual Report 2007

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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