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  5. MARK AFERZON, M.D., LLC

MARK AFERZON, M.D., LLC

Company Details

Entity Name: MARK AFERZON, M.D., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 21 Feb 2002
Date of dissolution: 06 Nov 2024
Business ALEI: 0706141
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 2 IVY BROOK ROADSUITE, SHELTON, CT, 06484, United States
Mailing address: 2 IVY BROOK ROAD, 110, SHELTON, CT, United States, 06484
ZIP code: 06484
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: laferzon@optonline.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2023 810546756 2024-05-09 MARK AFERZON, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2024-05-08
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-08
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2023 810546756 2024-07-22 MARK AFERZON, M.D., LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2024-07-22
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-22
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2022 810546756 2023-04-14 MARK AFERZON, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2023-04-14
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-14
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2021 810546756 2022-07-14 MARK AFERZON, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2020 810546756 2021-07-20 MARK AFERZON, M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2019 810546756 2020-07-16 MARK AFERZON, M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-16
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2018 810546756 2019-06-07 MARK AFERZON, M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing MARK AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2017 810546756 2018-05-23 MARK AFERZON, M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2018-05-23
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-23
Name of individual signing LANA AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2016 810546756 2017-07-05 MARK AFERZON, M.D., LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing RUSLANA AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-05
Name of individual signing RUSLANA AFERZON
Valid signature Filed with authorized/valid electronic signature
MARK AFERZON M.D., LLC PROFIT SHARING PLAN 2015 810546756 2016-07-06 MARK AFERZON, M.D., LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2039540019
Plan sponsor’s address 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2016-07-06
Name of individual signing RUSLANA AFERZON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-06
Name of individual signing RUSLANA AFERZON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Ruslana Aferzon Agent 2 Ivy Brook Road, 110, Shelton, CT, 06484, United States 2 Ivy Brook Road, 110, Shelton, CT, 06484, United States +1 203-278-2001 laferzon@optonline.net 225 Ansonia Rd, Woodbridge, CT, 06525-2402, United States

Officer

Name Role Business address Residence address
MARK AFERZON M.D. Officer 2 IVY BROOK ROAD, SUITE 110, SHELTON, CT, 06484, United States 225 ANSONIA ROAD, WOODBRIDGE, CT, 06525, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012910050 2024-11-06 2024-11-06 Dissolution Certificate of Dissolution No data
BF-0012221064 2024-02-07 No data Annual Report Annual Report No data
BF-0011406974 2023-07-04 No data Annual Report Annual Report No data
BF-0009962242 2022-12-20 No data Annual Report Annual Report No data
BF-0009095599 2022-12-20 No data Annual Report Annual Report 2017
BF-0009095597 2022-12-20 No data Annual Report Annual Report 2020
BF-0009095600 2022-12-20 No data Annual Report Annual Report 2019
BF-0009095601 2022-12-20 No data Annual Report Annual Report 2016
BF-0010866004 2022-12-20 No data Annual Report Annual Report No data
BF-0009095598 2022-12-20 No data Annual Report Annual Report 2018

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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