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  5. GALES FERRY MEDICAL GROUP, LLC

GALES FERRY MEDICAL GROUP, LLC

Company Details

Entity Name: GALES FERRY MEDICAL GROUP, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Jan 2000
Business ALEI: 0639169
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1527 ROUTE 12, GALES FERRY, CT, 06335, United States
Mailing address: 1527 ROUTE 12, GALES FERRY, CT, United States, 06335
ZIP code: 06335
County: New London
Place of Formation: CONNECTICUT
E-Mail: GALESFERRYMEDICAL@COMCAST.NET

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2023 061012541 2024-10-07 GALES FERRY MEDICAL GROUP, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-07
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2023 061012541 2024-12-11 GALES FERRY MEDICAL GROUP, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2024-12-11
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-12-11
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2022 061012541 2023-09-11 GALES FERRY MEDICAL GROUP, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-11
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2021 061012541 2022-08-16 GALES FERRY MEDICAL GROUP, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-16
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2020 061012541 2021-10-14 GALES FERRY MEDICAL GROUP, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2019 061012541 2020-05-01 GALES FERRY MEDICAL GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-01
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC 401(K) PLAN 2018 061012541 2019-04-02 GALES FERRY MEDICAL GROUP, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2019-04-02
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-02
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2017 061012541 2018-03-22 GALES FERRY MEDICAL GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-22
Name of individual signing JOHN HENNESSEY MD
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2016 061012541 2017-05-05 GALES FERRY MEDICAL GROUP, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address 1527 ROUTE 12, GALES FERRY, CT, 06335

Signature of
Role Plan administrator
Date 2017-05-05
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-05
Name of individual signing JOHN HENNESSEY
Valid signature Filed with authorized/valid electronic signature
GALES FERRY MEDICAL GROUP LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2015 061012541 2016-05-09 GALES FERRY MEDICAL GROUP LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 8604647274
Plan sponsor’s address P O BOX 355, 1527 ROUTE 12, GALES FERRY, CT, 063351800

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JOHN J. HENNESSEY Agent 1527 ROUTE 12, GALES FERRY, CT, 06335, United States 1527 ROUTE 12, GALES FERRY, CT, 06335, United States +1 860-464-7274 galesfemymedical@comcast.net 1527 ROUTE 12, GALES FERRY, CT, 06335, United States

Officer

Name Role Business address Residence address
LISA DAVIS Officer 1527 RT 12, P.O. BOX 355, GALES FERRY, CT, 06335, United States 160 BERLIN AVE, SOUTHINGTON, CT, 06489, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012405194 2024-01-04 No data Annual Report Annual Report No data
BF-0011399908 2023-02-14 No data Annual Report Annual Report No data
BF-0010400748 2022-01-20 No data Annual Report Annual Report 2022
0007171258 2021-02-17 No data Annual Report Annual Report 2021
0006882066 2020-04-13 No data Annual Report Annual Report 2020
0006478484 2019-03-20 No data Annual Report Annual Report 2019
0006478465 2019-03-20 No data Annual Report Annual Report 2018
0005979306 2017-12-05 No data Annual Report Annual Report 2017
0005500589 2016-03-03 No data Annual Report Annual Report 2016
0005244004 2014-12-29 No data Change of Agent Address Agent Address Change No data

Related by officers

LISA DAVIS

Davis Household Limited Liability Company AMERICAN PETROLEUM INSTITUTE (INC.) PENSKE AUTOMOTIVE GROUP, INC. PREVU REAL ESTATE LLC CANOPIUS UNDERWRITING AGENCY INC. ONLINE COMPUTER CORPORATION

Related by address

1527 ROUTE 12, GALES FERRY, CT, 06335, United States

GALES FERRY ORTHODONTICS, LLC

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website

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