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NEW HAVEN DENTAL GROUP, LLC

Company Details

Entity Name: NEW HAVEN DENTAL GROUP, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 12 Dec 2001
Date of dissolution: 31 Dec 2018
Business ALEI: 0698888
Business address: WASHINGTON PROFESSIONAL CENTER 295 WASHINGTON AVENUE SUITE 7, HAMDEN, CT, 06518
ZIP code: 06518
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: pwitter@mdmc-law.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2018 061025204 2019-06-12 NEW HAVEN DENTAL GROUP 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-12
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2018 061025204 2019-03-11 NEW HAVEN DENTAL GROUP 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2019-03-11
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-11
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2017 061025204 2018-08-27 NEW HAVEN DENTAL GROUP 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2018-08-27
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-27
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2016 061025204 2017-07-05 NEW HAVEN DENTAL GROUP 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2017-07-04
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-04
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2015 061025204 2016-08-08 NEW HAVEN DENTAL GROUP 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2016-08-08
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-08
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2014 061025204 2015-07-29 NEW HAVEN DENTAL GROUP 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2015-07-28
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2013 061025204 2014-08-20 NEW HAVEN DENTAL GROUP 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2014-08-20
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-20
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2012 061025204 2013-09-19 NEW HAVEN DENTAL GROUP 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2013-09-16
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-16
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2011 061025204 2012-09-25 NEW HAVEN DENTAL GROUP 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Plan administrator’s name and address

Administrator’s EIN 061025204
Plan administrator’s name NEW HAVEN DENTAL GROUP
Plan administrator’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511
Administrator’s telephone number 2037818051

Signature of

Role Plan administrator
Date 2012-09-24
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-24
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
NEW HAVEN DENTAL GROUP RETIREMENT PLAN 2010 061025204 2011-09-14 NEW HAVEN DENTAL GROUP 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 2037818051
Plan sponsor’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511

Plan administrator’s name and address

Administrator’s EIN 061025204
Plan administrator’s name NEW HAVEN DENTAL GROUP
Plan administrator’s address 123 YORK STREET, SUITE 4L, NEW HAVEN, CT, 06511
Administrator’s telephone number 2037818051

Signature of

Role Plan administrator
Date 2011-09-13
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-13
Name of individual signing JOHN PLACHTYNA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
R. EUGENE TORRENTI ESQ. Agent 2805 WHITNEY AVE, HAMDEN, CT, 06518, United States 231 HAWTHORNE LANE, ORANGE, CT, 06477, United States

Officer

Name Role Business address Residence address
DEAN G. CLOUTIER D.D.S. Officer WASHINGTON PROFESSIONAL CENTER, 295 WASHINGTON AVENUE, SUITE 7, HAMDEN, CT, 06518, United States 152 CHURCH ST., GUILFORD, CT, 06473, United States
JOHN P. PLACHTYNA D.D.S. Officer WASHINGTON PROFESSIONAL CENTER, 295 WASHINGTON AVENUE, SUITE 7, HAMDEN, CT, 06518, United States 6 SYCAMORE LANE, NORTH HAVEN, CT, 06473, United States
KEVIN T. O'BRIEN D.M.D. Officer WASHINGTON PROFESSIONAL CENTER, 295 WASHINGTON AVENUE, SUITE 7, HAMDEN, CT, United States 245 MILLBROOK ROAD, NORTH HAVEN, CT, 06473, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006290763 2018-12-11 2018-12-31 Dissolution Certificate of Dissolution No data
0006013824 2018-01-17 No data Annual Report Annual Report 2018
0006013815 2018-01-17 No data Annual Report Annual Report 2017
0005746064 2017-01-20 No data Annual Report Annual Report 2016
0005534507 2016-04-11 No data Interim Notice Interim Notice No data
0005508389 2016-03-08 No data Annual Report Annual Report 2015
0005223497 2014-11-21 No data Annual Report Annual Report 2014
0005038070 2014-02-06 No data Annual Report Annual Report 2013
0004811607 2013-02-28 No data Annual Report Annual Report 2012
0004555341 2012-01-03 No data Annual Report Annual Report 2011

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website