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  5. FLANDERS PEDIATRICS, LLC

FLANDERS PEDIATRICS, LLC

Company Details

Entity Name: FLANDERS PEDIATRICS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Feb 2002
Business ALEI: 0706526
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 305 FLANDERS ROAD, EAST LYME, CT, 06333, United States
Mailing address: 305 FLANDERS ROAD PO BOX 278 P.O. BOX 278, EAST LYME, CT, United States, 06333
ZIP code: 06333
County: New London
Place of Formation: CONNECTICUT
E-Mail: kassim@snet.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLANDERS PEDIATRICS, LLC 401(K) PLAN 2023 562339803 2024-04-09 FLANDERS PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2024-04-09
Name of individual signing MARIA ALEXANDRA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-09
Name of individual signing MARIA ALEXANDRA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC 401(K) PLAN 2022 562339803 2023-04-16 FLANDERS PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2023-04-16
Name of individual signing MARIAL ALEXANDRA LOPEZ, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-16
Name of individual signing MARIAL ALEXANDRA LOPEZ, MD
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC 401(K) PLAN 2021 562339803 2022-04-12 FLANDERS PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-12
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2020 562339803 2021-02-04 FLANDERS PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2021-02-04
Name of individual signing KASSIM TARHINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-04
Name of individual signing KASSIM TARHINI
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2019 562339803 2020-01-26 FLANDERS PEDIATRICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2020-01-26
Name of individual signing KASSIM TARHINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-26
Name of individual signing KASSIM TARHINI
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2018 562339803 2019-02-06 FLANDERS PEDIATRICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2019-02-06
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-06
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2017 562339803 2018-02-26 FLANDERS PEDIATRICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2018-02-26
Name of individual signing MARIA ALEXANDRA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-26
Name of individual signing MARIA ALEXANDRA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS, LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2016 562339803 2017-04-12 FLANDERS PEDIATRICS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address EAST LYME COMMONS, 305 FLANDERS ROAD, P.O BOX 278, EAST LYME, CT, 06333

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-12
Name of individual signing MARIA LOPEZ
Valid signature Filed with authorized/valid electronic signature
FLANDERS PEDIATRICS LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2015 562339803 2016-04-19 FLANDERS PEDIATRICS LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address 305 FLANDERS RD, EAST LYME, CT, 063331743
FLANDERS PEDIATRICS LLC ROTH SAFE-HARBOR 401(K) PROFIT SHARING PLAN 2014 562339803 2015-05-11 FLANDERS PEDIATRICS LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8607390348
Plan sponsor’s address 305 FLANDERS ROAD, EAST LYME, CT, 06333

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Kassim Tarhini Agent 305 FLANDERS ROAD, EAST LYME, CT, 06333, United States 305 FLANDERS ROAD, EAST LYME, CT, 06333, United States +1 860-861-3905 kassim@snet.net 23 Plum Hl, East Lyme, CT, 06333-1465, United States

Officer

Name Role Business address Residence address
MARIA ALEXANDRA LOPEZ Officer 305 FLANDERS ROAD, PO BOX 278, EAST LYME, CT, 06333, United States 33 WAYNE DRIVE, EAST LYME, CT, 06333, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012221235 2024-01-20 No data Annual Report Annual Report No data
BF-0011407937 2023-01-29 No data Annual Report Annual Report No data
BF-0010269285 2022-03-03 No data Annual Report Annual Report 2022
0007088734 2021-01-30 No data Annual Report Annual Report 2021
0006813544 2020-03-04 No data Annual Report Annual Report 2020
0006497202 2019-03-26 No data Annual Report Annual Report 2019
0006368039 2019-02-06 No data Annual Report Annual Report 2018
0006035010 2018-01-25 No data Annual Report Annual Report 2017
0005760351 2017-02-02 No data Annual Report Annual Report 2016
0005478798 2016-02-01 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website

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