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GLASTONBURY FAMILY DENTAL, LLC

Company Details

Entity Name: GLASTONBURY FAMILY DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 18 Aug 1999
Date of dissolution: 19 Dec 2013
Business ALEI: 0628185
Business address: 2450 MAIN STREET SUITE 1, GLASTONBURY, CT, 06033
ZIP code: 06033
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: glastonbury5813@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2012 061555798 2013-06-10 GLASTONBURY FAMILY DENTAL, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8606336246
Plan sponsor’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing NIMESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing NIMESH PATEL
Valid signature Filed with authorized/valid electronic signature
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2011 061555798 2012-04-20 GLASTONBURY FAMILY DENTAL, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8606336246
Plan sponsor’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033

Plan administrator’s name and address

Administrator’s EIN 061555798
Plan administrator’s name GLASTONBURY FAMILY DENTAL, LLC
Plan administrator’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033
Administrator’s telephone number 8606336246

Signature of

Role Plan administrator
Date 2012-04-20
Name of individual signing NIMESH PATEL
Valid signature Filed with authorized/valid electronic signature
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2010 061555798 2011-05-13 GLASTONBURY FAMILY DENTAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8606336246
Plan sponsor’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033

Plan administrator’s name and address

Administrator’s EIN 061555798
Plan administrator’s name GLASTONBURY FAMILY DENTAL, LLC
Plan administrator’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033
Administrator’s telephone number 8606336246

Signature of

Role Plan administrator
Date 2011-05-13
Name of individual signing NIMESH PATEL
Valid signature Filed with authorized/valid electronic signature
GLASTONBURY FAMILY DENTAL, LLC 401(K) PROFIT SHARING PLAN 2009 061555798 2010-08-20 GLASTONBURY FAMILY DENTAL, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621210
Sponsor’s telephone number 8606336246
Plan sponsor’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033

Plan administrator’s name and address

Administrator’s EIN 061555798
Plan administrator’s name GLASTONBURY FAMILY DENTAL, LLC
Plan administrator’s address 2450 MAIN STREET, GLASTONBURY, CT, 06033
Administrator’s telephone number 8606336246

Signature of

Role Plan administrator
Date 2010-08-20
Name of individual signing NIMESH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
NIMESH L. PATEL D.M.D. Agent 2450 MAIN ST, GLASTONBURY, CT, 06033, United States 270 FARMCLIFF DRIVE, GLASTONBURY, CT, 06033, United States

Officer

Name Role Business address Residence address
NIMESH PATEL D.M. D. Officer 2450 MAIN STREET, GLASTONBURY, CT, 06033, United States 270 FARMCLIFF DRIVE, GLASTONBURY, CT, 06033, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005006101 2013-12-19 No data Dissolution Certificate of Dissolution No data
0004687261 2012-07-16 No data Annual Report Annual Report 2012
0004440431 2011-09-09 No data Annual Report Annual Report 2011
0004249762 2010-10-01 No data Annual Report Annual Report 2010
0003985411 2009-08-10 No data Annual Report Annual Report 2009
0003770581 2008-09-08 No data Annual Report Annual Report 2008
0003530872 2007-09-06 No data Annual Report Annual Report 2007
0003278952 2006-08-19 No data Annual Report Annual Report 2006
0003111543 2006-01-13 No data Change of Agent Agent Change No data
0002989666 2005-09-06 No data Annual Report Annual Report 2005

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website