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  5. NEW CANAAN PEDIATRICS, LLC

NEW CANAAN PEDIATRICS, LLC

Company Details

Entity Name: NEW CANAAN PEDIATRICS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 26 Mar 2003
Business ALEI: 0743985
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 173 EAST AVE., NEW CANAAN, CT, 06840, United States
Mailing address: 173 EAST AVE., NEW CANAAN, CT, United States, 06840
ZIP code: 06840
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: tslim1294@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2020 562337979 2021-08-17 NEW CANAAN PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2019 562337979 2020-08-20 NEW CANAAN PEDIATRICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-20
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2018 562337979 2019-10-01 NEW CANAAN PEDIATRICS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2017 562337979 2018-09-21 NEW CANAAN PEDIATRICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2016 562337979 2017-08-17 NEW CANAAN PEDIATRICS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2015 562337979 2016-09-13 NEW CANAAN PEDIATRICS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-13
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2014 562337979 2015-10-13 NEW CANAAN PEDIATRICS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2013 562337979 2014-05-02 NEW CANAAN PEDIATRICS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2014-05-02
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-02
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2012 562337979 2013-08-14 NEW CANAAN PEDIATRICS, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-14
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PEDIATRICS, LLC PROFIT SHARING PLAN 2011 562337979 2012-07-05 NEW CANAAN PEDIATRICS, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-05-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Plan administrator’s name and address
Administrator’s EIN 562337979
Plan administrator’s name NEW CANAAN PEDIATRICS, LLC
Plan administrator’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
Administrator’s telephone number 2039724236

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ALYSSA NEWMAN Officer 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States 48 PHEASANT RUN ROAD, WILTON, CT, 06897, United States
WILLIAM T. FLYNN MD Officer 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States 20 GRAY SQUIRREL DRIVE, NEW CANAAN, CT, 06840, United States

Agent

Name Role
REID AND RIEGE, P.C. Agent

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012135625 2024-12-26 No data Annual Report Annual Report No data
BF-0011271544 2023-04-27 No data Annual Report Annual Report No data
BF-0010333687 2022-03-11 No data Annual Report Annual Report 2022
0007084564 2021-01-27 No data Annual Report Annual Report 2021
0006851482 2020-03-27 No data Annual Report Annual Report 2020
0006469154 2019-03-15 No data Annual Report Annual Report 2019
0006189464 2018-05-24 No data Annual Report Annual Report 2018
0005861477 2017-06-07 No data Annual Report Annual Report 2017
0005552998 2016-04-29 No data Annual Report Annual Report 2016
0005552984 2016-04-29 No data Annual Report Annual Report 2013

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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