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BURNSIDE DENTAL CARE, P.C.

Company Details

Entity Name: BURNSIDE DENTAL CARE, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 05 Jan 1999
Business ALEI: 0610519
Annual report due: 05 Jan 2026
NAICS code: 621399 - Offices of All Other Miscellaneous Health Practitioners
Business address: 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108, United States
Mailing address: 270 BURNSIDE AVE, EAST HARTFORD, CT, United States, 06108
ZIP code: 06108
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: tooth40@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2017 061534544 2018-09-07 BURNSIDE DENTAL CARE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2016 061534544 2017-10-03 BURNSIDE DENTAL CARE, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2015 061534544 2016-08-02 BURNSIDE DENTAL CARE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2014 061534544 2015-05-13 BURNSIDE DENTAL CARE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2013 061534544 2014-07-28 BURNSIDE DENTAL CARE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2012 061534544 2013-07-25 BURNSIDE DENTAL CARE, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2011 061534544 2012-10-11 BURNSIDE DENTAL CARE, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2010 061534544 2011-04-11 BURNSIDE DENTAL CARE, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2011-04-11
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature
BURNSIDE DENTAL CARE, P.C. 401(K) PLAN 2009 061534544 2010-07-26 BURNSIDE DENTAL CARE, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 8602899558
Plan sponsor’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address

Administrator’s EIN 061534544
Plan administrator’s name BURNSIDE DENTAL CARE, P.C.
Plan administrator’s address 270 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8602899558

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing ROBERT A. KATZ, DMD
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ROBERT A. KATZ Officer 270 BURNSIDE AVE., EAST HARTFORD, CT, 06108, United States 21 PEQUOT DRIVE, NORWALK, CT, 06855, United States
MICHAEL D. KATZ DMD Officer 270 BURNSIDE AVE., EAST HARTFORD, AK, 06108, United States 16 White Oak Rd, Farmington, CT, 06032-1725, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
STEVEN L. KATZ Agent ROME,CLIFFORD,KATZ AND KOERNER, 214 MAIN STREET, HARTOFRD, CT, 06106, United States ROME,CLIFFORD,KATZ AND KOERNER, 214 MAIN STREET, HARTOFRD, CT, 06106, United States +1 860-490-1188 tooth40@aol.com 12 FOREST HILLS LANE, WEST HARTFORD, CT, 06117, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012937619 2024-12-09 No data Annual Report Annual Report No data
BF-0012267904 2023-12-12 No data Annual Report Annual Report No data
BF-0011154089 2022-12-14 No data Annual Report Annual Report No data
BF-0010170988 2022-02-03 No data Annual Report Annual Report 2022
0007232475 2021-03-15 No data Annual Report Annual Report 2021
0006751074 2020-02-11 No data Annual Report Annual Report 2020
0006321658 2019-01-15 No data Annual Report Annual Report 2019
0006321654 2019-01-15 No data Annual Report Annual Report 2018
0005742942 2017-01-17 No data Annual Report Annual Report 2017
0005448305 2015-12-17 No data Annual Report Annual Report 2016

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website