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  5. INTERNAL MEDICINE OF WEST HAVEN, LLC

INTERNAL MEDICINE OF WEST HAVEN, LLC

Date of last update: 28 Apr 2025. Data updated weekly.

Companies that start with "INTERNAL"

Company Details

Entity Name: INTERNAL MEDICINE OF WEST HAVEN, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 26 Dec 2002
Business ALEI: 0734883
Annual report due: 31 Mar 2025
Business address: 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516, United States
Mailing address: 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, United States, 06516
ZIP code: 06516
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: piyush@sevihealth.com

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2022 320048568 2023-06-07 INTERNAL MEDICINE OF WEST HAVEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2021 320048568 2022-06-14 INTERNAL MEDICINE OF WEST HAVEN, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-14
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2020 320048568 2021-06-02 INTERNAL MEDICINE OF WEST HAVEN, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-28
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC DEFINED BENEFIT PLAN 2019 320048568 2020-07-16 INTERNAL MEDICINE OF WEST HAVEN, LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-16
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2019 320048568 2020-07-01 INTERNAL MEDICINE OF WEST HAVEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC DEFINED BENEFIT PLAN 2018 320048568 2019-09-25 INTERNAL MEDICINE OF WEST HAVEN, LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2018 320048568 2019-05-28 INTERNAL MEDICINE OF WEST HAVEN, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-24
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC SECTION 401(K) PROFIT SHARING PLAN 2017 320048568 2018-05-24 INTERNAL MEDICINE OF WEST HAVEN, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-03-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC DEFINED BENEFIT PLAN 2017 320048568 2018-10-03 INTERNAL MEDICINE OF WEST HAVEN, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
INTERNAL MEDICINE OF WEST HAVEN, LLC DEFINED BENEFIT PLAN 2016 320048568 2017-07-11 INTERNAL MEDICINE OF WEST HAVEN, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 2039310034
Plan sponsor’s address 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516

Signature of
Role Plan administrator
Date 2017-07-10
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing MANGALA GOTTIPARTHY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Officer

Name Role Business address Residence address
Piyush Gupta Officer 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516, United States 764 CAMPBELL AVENUE SUITE E, WEST HAVEN, CT, 06516, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013270689 2024-12-02 - Mass Agent Change � Address Agent Address Change -
BF-0012087800 2024-03-30 - Annual Report Annual Report -
BF-0011739011 2023-03-14 2023-03-14 Change of Agent Agent Change -
BF-0011269410 2023-01-05 - Annual Report Annual Report -
BF-0009667909 2022-11-08 - Annual Report Annual Report 2020
BF-0009894982 2022-11-08 - Annual Report Annual Report -
BF-0010795261 2022-11-08 - Annual Report Annual Report -
0006346066 2019-01-30 - Annual Report Annual Report 2014
0006346092 2019-01-30 - Annual Report Annual Report 2015
0006346135 2019-01-30 - Annual Report Annual Report 2018

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3142317700 2020-05-01 0156 PPP 764 CAMPBELL AVE STE E, W HAVEN, CT, 06516
Loan Status Date 2021-08-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 79532
Loan Approval Amount (current) 79532
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address W HAVEN, NEW HAVEN, CT, 06516-0001
Project Congressional District CT-03
Number of Employees 8
NAICS code 621999
Borrower Race Asian
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 80497.61
Forgiveness Paid Date 2021-07-22

Debts and Liens

This table presents a concise summary of a company's liens and debts, detailing essential information such as the lien type, debt amount, associated parties, and current status of each financial obligation.

Subsequent Filing No Status Type Filing Date Lapse Date Filing Type
0005153368 Active OFS 2023-07-11 2028-07-11 ORIG FIN STMT

Parties
Name INTERNAL MEDICINE OF WEST HAVEN, LLC
Role Debtor
Name GE HFS, LLC
Role Secured Party
0005010832 Active OFS 2021-07-19 2026-05-02 AMENDMENT

Parties
Name CITIZENS BANK, N.A.
Role Secured Party
Name INTERNAL MEDICINE OF WEST HAVEN, LLC
Role Debtor
0003415334 Active OFS 2020-12-07 2026-05-02 AMENDMENT

Parties
Name CITIZENS BANK, N.A.
Role Secured Party
Name INTERNAL MEDICINE OF WEST HAVEN, LLC
Role Debtor
0003117270 Active OFS 2016-05-02 2026-05-02 ORIG FIN STMT

Parties
Name INTERNAL MEDICINE OF WEST HAVEN, LLC
Role Debtor
Name CITIZENS BANK, N.A.
Role Secured Party

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See something incorrect or outdated? Let us know

Sources: Company Profile on Connecticut's Official State Website

* While we strive to keep this information correct and up-to-date, it is not the primary source, and the dataset source should always be referred to for definitive information

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