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  5. JACOB ZAMSTEIN, M.D., LLC

JACOB ZAMSTEIN, M.D., LLC

Company Details

Entity Name: JACOB ZAMSTEIN, M.D., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 20 Sep 1999
Date of dissolution: 09 May 2016
Business ALEI: 0630546
Business address: 701 COTTAGE GROVE ROAD BUILDING C, BLOOMFIELD, CT, 06002
ZIP code: 06002
County: Hartford
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2013 263907191 2014-10-15 JACOB ZAMSTEIN, M.D., LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2013 263907191 2014-10-15 JACOB ZAMSTEIN, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2012 263907191 2013-10-15 JACOB ZAMSTEIN, M.D., LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2012 263907191 2013-10-15 JACOB ZAMSTEIN, M.D., LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2011 263907191 2012-10-11 JACOB ZAMSTEIN, M.D., LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Plan administrator’s name and address
Administrator’s EIN 263907191
Plan administrator’s name JACOB ZAMSTEIN, M.D., LLC
Plan administrator’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080
Administrator’s telephone number 8602422900

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2011 263907191 2012-10-24 JACOB ZAMSTEIN, M.D., LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Plan administrator’s name and address
Administrator’s EIN 263907191
Plan administrator’s name JACOB ZAMSTEIN, M.D., LLC
Plan administrator’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080
Administrator’s telephone number 8602422900

Signature of
Role Plan administrator
Date 2012-10-24
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2011 263907191 2012-10-24 JACOB ZAMSTEIN, M.D., LLC 6
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Plan administrator’s name and address
Administrator’s EIN 263907191
Plan administrator’s name JACOB ZAMSTEIN, M.D., LLC
Plan administrator’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080
Administrator’s telephone number 8602422900

Signature of
Role Plan administrator
Date 2012-10-24
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2010 263907191 2011-10-12 JACOB ZAMSTEIN, M.D., LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Plan administrator’s name and address
Administrator’s EIN 263907191
Plan administrator’s name JACOB ZAMSTEIN, M.D., LLC
Plan administrator’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080
Administrator’s telephone number 8602422900

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature
JACOB ZAMSTEIN, M.D., LLC PROFIT SHARING PLAN 2009 263907191 2010-10-14 JACOB ZAMSTEIN, M. D. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 621111
Sponsor’s telephone number 8602422900
Plan sponsor’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080

Plan administrator’s name and address
Administrator’s EIN 263907191
Plan administrator’s name JACOB ZAMSTEIN, M. D.
Plan administrator’s address 701 COTTAGE GROVE RD., BLDG C110, BLOOMFIELD, CT, 060023080
Administrator’s telephone number 8602422900

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing JACOB ZAMSTEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JACOB ZAMSTEIN M.D. Agent 701 COTTAGE GROVE RD, BLDG C, BLOOMFIELD, CT, 06002, United States 24 BILTMORE PARK, BLOOMFIELD, CT, 06002, United States

Officer

Name Role Business address Residence address
JACOB ZAMSTEIN M.D. Officer 701-C COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States 24 BILTMORE PARK, BLOOMFIELD, CT, 06002, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005762111 2017-01-25 2016-05-09 Dissolution Certificate of Dissolution No data
0004634702 2011-10-06 No data Annual Report Annual Report 2011
0004316198 2010-10-15 No data Annual Report Annual Report 2010
0004021183 2009-09-08 No data Annual Report Annual Report 2009
0003780602 2008-09-12 No data Annual Report Annual Report 2008
0003546914 2007-10-01 No data Annual Report Annual Report 2007
0003308201 2006-09-29 No data Annual Report Annual Report 2006
0003101299 2005-09-30 No data Annual Report Annual Report 2005
0002924402 2004-10-14 No data Annual Report Annual Report 2004
0002751531 2004-01-08 No data Annual Report Annual Report 2003

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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