| Entity Name: | SCOTT BERNSTEIN, M.D., LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 15 Aug 2000 |
| Date of dissolution: | 14 Apr 2010 |
| Business ALEI: | 0659143 |
| Business address: | 19 AVONDALE RD., WEST HARTFORD, CT, 06117 |
| ZIP code: | 06117 |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCOTT BERNSTEIN, M.D. 401(K) PROFIT SHARING PLAN | 2010 | 061591021 | 2011-10-05 | SCOTT BERNSTEIN, M.D., LLC | 1 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 061591021 |
| Plan administrator’s name | SCOTT BERNSTEIN, M.D., LLC |
| Plan administrator’s address | 19 AVONDALE ROAD, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number | 8605241055 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-05 |
| Name of individual signing | NANCY BERNSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-05 |
| Name of individual signing | NANCY BERNSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8605241055 |
| Plan sponsor’s address | 19 AVONDALE ROAD, WEST HARTFORD, CT, 06117 |
Plan administrator’s name and address
| Administrator’s EIN | 061591021 |
| Plan administrator’s name | SCOTT BERNSTEIN, M.D., LLC |
| Plan administrator’s address | 19 AVONDALE ROAD, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number | 8605241055 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | NANCY BERSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-13 |
| Name of individual signing | NANCY BERSTEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| JACOBS, WALKER, RICE & BARRY, LLC | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SCOTT BERNSTEIN M.D. | Officer | 19 AVONDALE RD., WEST HARTFORD, CT, 06117, United States | 19 AVONDALE RD., WEST HARTFORD, CT, 06117, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004142953 | 2010-04-14 | No data | Dissolution | Certificate of Dissolution | No data |
| 0004127037 | 2010-03-22 | No data | Change of Agent | Agent Change | No data |
| 0004012521 | 2009-08-19 | No data | Annual Report | Annual Report | 2009 |
| 0003766231 | 2008-08-26 | No data | Annual Report | Annual Report | 2008 |
| 0003544034 | 2007-09-24 | No data | Annual Report | Annual Report | 2007 |
| 0003292526 | 2006-09-06 | No data | Annual Report | Annual Report | 2006 |
| 0003092406 | 2005-09-01 | No data | Annual Report | Annual Report | 2005 |
| 0002896663 | 2004-08-31 | No data | Annual Report | Annual Report | 2004 |
| 0002684523 | 2003-08-08 | No data | Annual Report | Annual Report | 2003 |
| 0002502057 | 2002-09-12 | No data | Annual Report | Annual Report | 2002 |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
