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  5. COLUMBIA MENTAL HEALTH, LLC

COLUMBIA MENTAL HEALTH, LLC

Company Details

Entity Name: COLUMBIA MENTAL HEALTH, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 09 Mar 1999
Business ALEI: 0615613
Annual report due: 31 Mar 2025
NAICS code: 621112 - Offices of Physicians, Mental Health Specialists
Business address: 1 POST ROAD, FAIRFIELD, CT, 06824, United States
Mailing address: 1 POST ROAD, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: LNPMD@AOL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2023 223653978 2024-09-09 COLUMBIA MENTAL HEALTH, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-09
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2022 223653978 2023-10-13 COLUMBIA MENTAL HEALTH, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-13
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2021 223653978 2022-06-30 COLUMBIA MENTAL HEALTH, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2020 223653978 2021-09-27 COLUMBIA MENTAL HEALTH, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2019 223653978 2020-09-09 COLUMBIA MENTAL HEALTH, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2018 223653978 2019-07-15 COLUMBIA MENTAL HEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2017 223653978 2018-07-11 COLUMBIA MENTAL HEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-07-11
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2016 223653978 2017-10-12 COLUMBIA MENTAL HEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC DEFINED BENEFIT PLAN 2015 223653978 2016-07-19 COLUMBIA MENTAL HEALTH, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature
COLUMBIA MENTAL HEALTH, LLC PROFIT SHARING PLAN 2015 223653978 2016-10-05 COLUMBIA MENTAL HEALTH, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621112
Sponsor’s telephone number 2032557617
Plan sponsor’s address ONE POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing LAZARO POMERANIEC
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DAVID M. LEVINE Agent 1115 BROAD ST., BRIDGEPORT, CT, 06601, United States 1115 BROAD ST., BRIDGEPORT, CT, 06601, United States +1 203-368-0211 rlp713@aol.com 2675 Park Avenue, #26, Bridgeport, CT, 06604, United States

Officer

Name Role Business address Residence address
LAZARO N. POMERANIEC Officer 1 POST ROAD, FAIRFIELD, CT, 06824, United States 9 TIMBER LANE, WESTPORT, CT, 06880, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012341482 2024-02-10 No data Annual Report Annual Report No data
BF-0011156074 2023-02-24 No data Annual Report Annual Report No data
BF-0010322345 2022-03-29 No data Annual Report Annual Report 2022
0007172470 2021-02-18 No data Annual Report Annual Report 2021
0006827717 2020-03-11 No data Annual Report Annual Report 2020
0006435179 2019-03-08 No data Annual Report Annual Report 2015
0006435208 2019-03-08 No data Annual Report Annual Report 2018
0006435189 2019-03-08 No data Annual Report Annual Report 2017
0006435176 2019-03-08 No data Annual Report Annual Report 2014
0006435168 2019-03-08 No data Annual Report Annual Report 2013

Related by officers

DAVID M. LEVINE

B. L. R. REALTY COMPANY THE COHEN AND WOLF, P.C. LILAC REALTY, INC. FAIRFIELD COUNTY MEDICAL GROUP, P.C. MAINSAY CORP. 1620-34 BOSTON POST ROAD, LLC 1755 BOSTON POST ROAD, LLC KAP GLOBAL SOLUTIONS, INC. DRUCKER EDUCATIONAL CONSULTING LLC SIX GOOD EGGS, LLC

Related by address

1 POST ROAD, FAIRFIELD, CT, 06824, United States

IBASE OF DALLAS, LLC

1 POST ROAD, FAIRFIELD, CT, United States, 06824

IBASE OF DALLAS, LLC

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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