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  5. UNIONVILLE PEDIATRICS, LLC

UNIONVILLE PEDIATRICS, LLC

Company Details

Entity Name: UNIONVILLE PEDIATRICS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 30 Jun 1999
Business ALEI: 0624624
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 101 MAIN STREET, UNIONVILLE, CT, 06085, United States
Mailing address: 101 MAIN STREET, UNIONVILLE, CT, United States, 06085
ZIP code: 06085
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: pjjpedsmd@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIONVILLE PEDIATRICS 401(K) PROFIT SHARING PLAN 2023 060960740 2024-09-19 UNIONVILLE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address 101 MAIN STREET, UNIONVILLE, CT, 09085
UNIONVILLE PEDIATRICS 401(K) PROFIT SHARING PLAN 2022 060960740 2023-09-11 UNIONVILLE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address 101 MAIN STREET, UNIONVILLE, CT, 09085
UNIONVILLE PEDIATRICS RETIREMENT PLAN 2012 060960740 2013-06-25 UNIONVILLE PEDIATRICS 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address P.O. BOX 221, UNIONVILLE, CT, 06085

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing FREDERICK O'CONNOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-25
Name of individual signing FREDERICK O'CONNOR
Valid signature Filed with authorized/valid electronic signature
UNIONVILLE PEDIATRICS RETIREMENT PLAN 2011 060960740 2012-05-17 UNIONVILLE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address P.O. BOX 221, UNIONVILLE, CT, 06085

Plan administrator’s name and address
Administrator’s EIN 060960740
Plan administrator’s name UNIONVILLE PEDIATRICS
Plan administrator’s address P.O. BOX 221, UNIONVILLE, CT, 06085
Administrator’s telephone number 8606736124

Signature of
Role Plan administrator
Date 2012-05-17
Name of individual signing FREDERICK O'CONNOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-17
Name of individual signing FREDERICK O'CONNOR
Valid signature Filed with authorized/valid electronic signature
UNIONVILLE PEDIATRICS RETIREMENT PLAN 2010 060960740 2011-10-17 UNIONVILLE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address P.O. BOX 221, UNIONVILLE, CT, 06085

Plan administrator’s name and address
Administrator’s EIN 060960740
Plan administrator’s name UNIONVILLE PEDIATRICS
Plan administrator’s address P.O. BOX 221, UNIONVILLE, CT, 06085
Administrator’s telephone number 8606736124

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing S. RUSSELL SYLVESTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing S. RUSSELL SYLVESTER
Valid signature Filed with authorized/valid electronic signature
UNIONVILLE PEDIATRICS RETIREMENT PLAN 2009 060960740 2010-09-23 UNIONVILLE PEDIATRICS 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 8606736124
Plan sponsor’s address P.O. BOX 221, UNIONVILLE, CT, 06085

Plan administrator’s name and address
Administrator’s EIN 060960740
Plan administrator’s name UNIONVILLE PEDIATRICS
Plan administrator’s address P.O. BOX 221, UNIONVILLE, CT, 06085
Administrator’s telephone number 8606736124

Signature of
Role Plan administrator
Date 2010-09-23
Name of individual signing S. RUSSELL SYLVESTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing S. RUSSELL SYLVESTER
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
MARK GILROY Officer 101 MAIN ST, UNIONVILLE, CT, 06085, United States 141 MAIN ST, FARMINGTON, CT, 06032, United States
PETER J JANNUZZI MD Officer 101 MAIN STREET, UNIONVILLE, CT, 06085, United States 72 GARDEN STREET, FARMINGTON, CT, 06032, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PETER J JANNUZZI Agent 101 MAIN STREET, UNIONVILLE, CT, 06085, United States 101 MAIN STREET, UNIONVILLE, CT, 06085, United States +1 860-490-2663 pjjpedsmd@gmail.com 101 MAIN STREET, UNIONVILLE, CT, 06085, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012353601 2024-02-27 No data Annual Report Annual Report No data
BF-0011152933 2023-02-28 No data Annual Report Annual Report No data
BF-0010316764 2022-01-17 No data Annual Report Annual Report 2022
0007087828 2021-01-30 No data Annual Report Annual Report 2021
0007037162 2020-12-14 No data Annual Report Annual Report 2020
0006808480 2020-03-03 2020-03-03 Interim Notice Interim Notice No data
0006794756 2020-02-25 2020-02-25 Change of Agent Agent Change No data
0006401267 2019-02-22 No data Annual Report Annual Report 2019
0006037371 2018-01-26 No data Annual Report Annual Report 2018
0005859967 2017-06-07 No data Annual Report Annual Report 2017

Related by officers

MARK GILROY

PENTEON CORPORATION

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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