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  5. CHRISTUS MEDICAL GROUP PC

CHRISTUS MEDICAL GROUP PC

Company Details

Entity Name: CHRISTUS MEDICAL GROUP PC
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 20 May 2002
Date of dissolution: 23 Apr 2014
Business ALEI: 0715502
Annual report due: 19 May 2004
Business address: 95 NUTMEG LANE APT. 219, EAST HARTFORD, CT, 06118
Mailing address: C/O DANIEL BLUME, ESQ. BLUME & ASSOCIATES LLC 970 FARMINGTON AVE, SUITE 209, WEST HARTFORD, CT, 06107
ZIP code: 06118
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 20000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHRISTUS MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2012 043678785 2013-09-09 CHRISTUS MEDICAL GROUP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8605288200
Plan sponsor’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06109

Signature of
Role Plan administrator
Date 2013-09-09
Name of individual signing OLGA COLON
Valid signature Filed with authorized/valid electronic signature
CHRISTUS MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2011 043678785 2012-10-11 CHRISTUS MEDICAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8605288200
Plan sponsor’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address
Administrator’s EIN 043678785
Plan administrator’s name CHRISTUS MEDICAL GROUP
Plan administrator’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8605288200

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing OLGA COLON
Valid signature Filed with authorized/valid electronic signature
CHRISTUS MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2010 043678785 2012-11-19 CHRISTUS MEDICAL GROUP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8605288200
Plan sponsor’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address
Administrator’s EIN 043678785
Plan administrator’s name CHRISTUS MEDICAL GROUP
Plan administrator’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8605288200

Signature of
Role Plan administrator
Date 2012-11-19
Name of individual signing OLGA COLON
Valid signature Filed with authorized/valid electronic signature
CHRISTUS MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2009 043678785 2010-10-26 CHRISTUS MEDICAL GROUP 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8605288200
Plan sponsor’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108

Plan administrator’s name and address
Administrator’s EIN 043678785
Plan administrator’s name CHRISTUS MEDICAL GROUP
Plan administrator’s address 587 BURNSIDE AVENUE, EAST HARTFORD, CT, 06108
Administrator’s telephone number 8605288200

Signature of
Role Plan administrator
Date 2010-10-26
Name of individual signing OLGA COLON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
DANIEL BLUME ESQ. Agent BLUME & ASSOCIATES LLC, 433 SOUTH MAIN STREET, SUITE 111, WEST HARTFORD, CT, 06110, United States 160 JEROME AVENUE, BURLINGTON, CT, 06013, United States

Officer

Name Role Business address Residence address
DANIEL BLUME Officer 970 FARMINGTON AVE, SUITE 209, WEST HARTFORD, CT, 06107, United States 166 COLLINS ST, HARTFORD, CT, 06105, United States
EDWIN NJOKU Officer 95 NUTMEG LANE, APT 219, EAST HARTFORD, CT, 06118, United States 95 NUTMEG LANE, APT 219, EAST HARTFORD, CT, 06118, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005102867 2014-04-23 2014-04-23 Dissolution Certificate of Dissolution No data
0002617477 2003-09-29 2003-09-29 Annual Report Annual Report 2003
0002422022 2002-05-20 No data Business Formation Certificate of Incorporation No data
0002422025 2002-05-20 2002-05-20 First Report Organization and First Report No data

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DANIEL BLUME ESQ.

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DANIEL BLUME

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Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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