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CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC

Company Details

Entity Name: CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 07 Nov 2002
Business ALEI: 0730737
Annual report due: 31 Mar 2025
NAICS code: 621493 - Freestanding Ambulatory Surgical and Emergency Centers
Business address: 440 NEW BRITAIN AVE, PLAINVILLE, CT, 06062, United States
Mailing address: 440 NEW BRITAIN AVE, PLAINVILLE, CT, United States, 06062
ZIP code: 06062
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: scordone@connecticutgi.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2023 141855010 2024-04-25 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2024-04-25
Name of individual signing MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2022 141855010 2023-05-22 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2023-05-22
Name of individual signing MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2021 141855010 2022-05-18 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2022-05-18
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-18
Name of individual signing MARK R VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2020 141855010 2021-05-01 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2021-05-01
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-01
Name of individual signing MARK R VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2019 141855010 2020-06-05 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2020-06-05
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2018 141855010 2019-04-03 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2019-04-03
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2017 141855010 2018-05-08 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2018-05-08
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-08
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2016 141855010 2017-04-15 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2017-04-15
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-15
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2015 141855010 2016-06-04 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2016-06-04
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 401(K) PLAN 2014 141855010 2015-04-26 CENTRAL CONNECTICUT ENDOSCOPY CENTER, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8607938500
Plan sponsor’s address 440 NEW BRITAIN AVENUE, PLAINVILLE, CT, 06062

Signature of

Role Plan administrator
Date 2015-04-26
Name of individual signing DR. MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-26
Name of individual signing MARK VERSLAND
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
THE HOSPITAL OF CENTRAL CO Officer 100 GRAND STREET, NEW BRITAIN, CT, 06050, United States No data No data 100 GRAND STREET, NEW BRITAIN, CT, 06050, United States
MARK VERSLAND Officer 440 NEW BRITAIN AVE, PLAINVILLE, CT, 06062, United States +1 774-991-2228 scordone@connecticutgi.org 35 DAVENTRY HILL ROAD, AVON, CT, 06001, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARK VERSLAND Agent 440 NEW BRITAIN AVE, PLAINVILLE, CT, 06062, United States 440 NEW BRITAIN AVE, PLAINVILLE, CT, 06062, United States +1 774-991-2228 scordone@connecticutgi.org 35 DAVENTRY HILL ROAD, AVON, CT, 06001, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
ASC.0000291 Out-Patient Surgical Facility ACTIVE CURRENT 2009-10-01 2023-10-01 2025-09-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012067380 2024-01-18 No data Annual Report Annual Report No data
BF-0011273739 2023-01-18 No data Annual Report Annual Report No data
BF-0010346593 2022-02-07 No data Annual Report Annual Report 2022
0007170935 2021-02-12 No data Annual Report Annual Report 2021
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006853245 2020-03-27 2020-03-27 Change of Agent Agent Change No data
0006828141 2020-03-12 No data Annual Report Annual Report 2020
0006588731 2019-07-02 No data Annual Report Annual Report 2019
0006281992 2018-11-23 2018-11-23 Change of Agent Agent Change No data

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website