Search icon

EAST HARTFORD PEDIATRICS, LLC

Company Details

Entity Name: EAST HARTFORD PEDIATRICS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 12 May 1999
Business ALEI: 0620917
Annual report due: 11 May 2001
Business address: 477 CONNECTICUT BLVD. SUITE 119, EAST HARTFORD, CT, 06108
Mailing address: 21 PAUL SPRING ROAD, FARMINGTON, CT, 06032
ZIP code: 06108
County: Hartford
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2017 061546694 2018-09-28 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2018-09-28
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2017 061546694 2018-12-07 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2018-12-07
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-12-07
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2016 061546694 2017-05-24 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2017-05-24
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2015 061546694 2016-09-14 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2016-09-14
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2014 061546694 2015-07-29 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-29
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2013 061546694 2014-07-15 EAST HARTFORD PEDIATRICS, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2014-07-15
Name of individual signing P VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2012 061546694 2013-08-26 EAST HARTFORD PEDIATRICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Signature of

Role Plan administrator
Date 2013-08-26
Name of individual signing PERUVAMBA VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-26
Name of individual signing PVENKAT
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2011 061546694 2012-07-30 EAST HARTFORD PEDIATRICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Plan administrator’s name and address

Administrator’s EIN 061546694
Plan administrator’s name EAST HARTFORD PEDIATRICS, LLC
Plan administrator’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032
Administrator’s telephone number 8602893047

Signature of

Role Plan administrator
Date 2012-07-30
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2010 061546694 2011-09-14 EAST HARTFORD PEDIATRICS, LLC 4
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Plan administrator’s name and address

Administrator’s EIN 061546694
Plan administrator’s name EAST HARTFORD PEDIATRICS, LLC
Plan administrator’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032
Administrator’s telephone number 8602893047

Signature of

Role Plan administrator
Date 2011-08-03
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with incorrect/unrecognized electronic signature
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN 2010 061546694 2011-09-14 EAST HARTFORD PEDIATRICS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 541990
Sponsor’s telephone number 8602893047
Plan sponsor’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032

Plan administrator’s name and address

Administrator’s EIN 061546694
Plan administrator’s name EAST HARTFORD PEDIATRICS, LLC
Plan administrator’s address 21 PAUL SPRING RD., FARMINGTON, CT, 06032
Administrator’s telephone number 8602893047

Signature of

Role Plan administrator
Date 2011-09-14
Name of individual signing JAYASHREE VENKATESH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
ALLAN W. KOERNER Agent 214 MAIN STREET, HARTFORD, CT, 06106, United States 11 SOUTH RIDGE ROAD, FARMINGTON, CT, 06032, United States

Officer

Name Role Business address Residence address
JAYASHREE VENKATESH MD Officer 477 CONNECTICUT BLVD, SUITE 119, EAST HARTFORD, CT, 06108, United States 21 PAUL SPRING ROAD, FARMINGTON, CT, 06032, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007140273 2021-02-09 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
0007022785 2020-11-19 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0007003955 2020-10-16 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0002377662 2001-12-18 No data Annual Report Annual Report 2000
0001976016 1999-05-12 No data Business Formation Certificate of Organization No data

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website