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COSMETIC AND PREVENTIVE DENTISTRY, INC.

Company Details

Entity Name: COSMETIC AND PREVENTIVE DENTISTRY, INC.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report past due
Date Formed: 20 Aug 2001
Date of dissolution: 19 Oct 2023
Business ALEI: 0689150
Annual report due: 20 Aug 2023
NAICS code: 621210 - Offices of Dentists
Business address: 888 WHITE PLAINS RD SUITE 102, TRUMBULL, CT, 06111, United States
Mailing address: 888 WHITE PLAINS RD SUITE 102, TRUMBULL, CT, United States, 06111
ZIP code: 06111
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 1500
E-Mail: robin@cpdentistry.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COSMETIC & PREVENTIVE DENTISTRY, INC. 401(K) PLAN 2022 223823666 2023-11-21 COSMETIC AND PREVENTIVE DENTISTRY, INC. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2023-11-21
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
COSMETIC & PREVENTIVE DENTISTRY 401(K) PLAN 2019 223823666 2020-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN 2018 223823666 2019-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN 2017 061300901 2018-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN 2017 223823666 2018-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JEFFREY BABUSHKIN
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN 2016 061300901 2018-01-16 COSMETIC AND PREVENTIVE DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2018-01-16
Name of individual signing LOUIS A. LONETTO
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN 2016 061300901 2018-01-16 COSMETIC AND PREVENTIVE DENTISTRY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2018-01-16
Name of individual signing LOUIS A. LONETTO
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. PROFIT SHARING PLAN 2015 061300901 2016-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing LOUIS A. LONETTO
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN 2015 061300901 2016-10-15 COSMETIC AND PREVENTIVE DENTISTRY, INC. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing LOUIS A. LONETTO
Valid signature Filed with authorized/valid electronic signature
JEFFREY A. BABUSHKIN, D.D.S. 401(K) PLAN 2014 061300901 2015-09-17 COSMETIC AND PREVENTIVE DENTISTRY, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 2032685881
Plan sponsor’s address 888 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

Signature of

Role Plan administrator
Date 2015-09-17
Name of individual signing LOUIS A. LONETTO
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
JEFFREY BABUSHKIN Officer 888 WHITE PLAINS RD, TRUMBULL, CT, 06111, United States 85 Lancelot Rd, Fairfield, CT, 06824-7137, United States
KATE BABUSHKIN Officer 888 WHITE PLAINS RD, TRUMBULL, CT, 06111, United States 85 Lancelot Road, FAIRFIELD, CT, 06824, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ROBIN MICHELLE SCHRANK Agent 888 WHITE PLAINS RD SUITE 102, TRUMBULL, CT, 06111, United States 888 WHITE PLAINS RD SUITE 102, TRUMBULL, CT, 06111, United States +1 203-521-0340 robin@cpdentistry.com 34 OBTUSE ROAD, NEWTOWN, CT, 06470, United States

History

Type Old value New value Date of change
Name change COMPLETE PREVENTIVE DENTISTRY, INC. COSMETIC AND PREVENTIVE DENTISTRY, INC. 2013-04-11

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011939755 2023-08-21 2023-10-19 Dissolution Certificate of Dissolution No data
BF-0010296309 2022-10-06 No data Annual Report Annual Report 2022
BF-0009811214 2021-09-20 No data Annual Report Annual Report No data
0006948059 2020-07-16 No data Annual Report Annual Report 2020
0006597913 2019-07-16 No data Annual Report Annual Report 2019
0006218690 2018-07-19 No data Annual Report Annual Report 2018
0006218688 2018-07-19 No data Annual Report Annual Report 2017
0005605945 2016-07-20 No data Annual Report Annual Report 2016
0005392808 2015-09-08 2015-09-08 Change of Agent Agent Change No data
0005384778 2015-08-24 No data Annual Report Annual Report 2015

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website