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  5. FAIRFIELD PERIODONTICS, LLC

FAIRFIELD PERIODONTICS, LLC

Company Details

Entity Name: FAIRFIELD PERIODONTICS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 05 Dec 2001
Business ALEI: 0698171
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 71 BEACH ROAD, FAIRFIELD, CT, 06824, United States
Mailing address: 71 BEACH ROAD, FAIRFIELD, CT, United States, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: PAWDMD@OPTONLINE.NET

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2023 100000139 2024-08-29 FAIRFIELD PERIODONTICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-04
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH STREET, FAIRFIELD, CT, 06430
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2022 100000139 2023-10-10 FAIRFIELD PERIODONTICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-04-04
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2021 100000139 2022-10-05 FAIRFIELD PERIODONTICS, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2020 100000139 2021-10-14 FAIRFIELD PERIODONTICS, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2019 100000139 2020-07-27 FAIRFIELD PERIODONTICS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2018 100000139 2019-09-26 FAIRFIELD PERIODONTICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2017 100000139 2018-07-26 FAIRFIELD PERIODONTICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2016 100000139 2017-07-26 FAIRFIELD PERIODONTICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-26
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2015 100000139 2016-09-14 FAIRFIELD PERIODONTICS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD PERIODONTICS 401(K) PROFIT SHARING PLAN 2014 100000139 2016-09-14 FAIRFIELD PERIODONTICS, LLC 14
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 2032557771
Plan sponsor’s address 71 BEACH ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing PERRY WASSERLAUF, DMD
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
Perry A. Wasserlauf D.M.D. Officer 71 Beach Rd, Fairfield, CT, 06824-6001, United States 31 Coach Ln, Fairfield, CT, 06825-2616, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MICHAEL L. GOLDMAN Agent GOLDMAN GRUDER & WOODS, LLC, 200 CONNECTICUT AVENUE, NORWALK, CT, 06854, United States GOLDMAN GRUDER & WOODS, LLC, 200 CONNECTICUT AVENUE, NORWALK, CT, 06854, United States +1 203-521-4333 mgoldman@goldmangruderwoods.com 1 SKY TOP DR., TRUMBULL, CT, 06611, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012221867 2024-01-18 No data Annual Report Annual Report No data
BF-0012063559 2023-10-31 2023-10-31 Amendment Certificate of Amendment No data
BF-0012036277 2023-10-27 2023-10-27 Interim Notice Interim Notice No data
BF-0011404717 2023-01-19 No data Annual Report Annual Report No data
BF-0010261807 2022-03-14 No data Annual Report Annual Report 2022
0007088287 2021-01-30 No data Annual Report Annual Report 2021
0007045010 2020-12-28 No data Annual Report Annual Report 2020
0006538200 2019-04-18 2019-04-18 Change of Agent Agent Change No data
0006436934 2019-03-09 No data Annual Report Annual Report 2018
0006436948 2019-03-09 No data Annual Report Annual Report 2019

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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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