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  5. CRYSTAL ROCK LLC

CRYSTAL ROCK LLC

Company Details

Entity Name: CRYSTAL ROCK LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Foreign
Status: Revoked
Date Formed: 20 Dec 2004
Business ALEI: 0805237
Business address: 1050 BUCKINGHAM STREET, WATERTOWN, CT, 06795, United States
Mailing address: CRYSTAL ROCK LLC 1050 BUCKINGHAM ST, WATERTOWN, CT, United States, 06795
Mailing jurisdiction address: 1050 BUCKINGHAM ST, WATERTOWN, CT, 06795, United States
ZIP code: 06795
County: Litchfield
Place of Formation: DELAWARE
E-Mail: bbraun@dsservices.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2013 161711865 2014-07-07 CRYSTAL ROCK LLC 257
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2014-07-07
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-07
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2012 161711865 2013-08-02 CRYSTAL ROCK LLC 321
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 357

Signature of
Role Plan administrator
Date 2013-08-02
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2011 161711865 2012-08-07 CRYSTAL ROCK LLC 317
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 321

Signature of
Role Plan administrator
Date 2012-08-07
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2010 161711865 2011-07-27 CRYSTAL ROCK LLC 325
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 317

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2009 161711865 2010-07-23 CRYSTAL ROCK LLC 311
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 325
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature
CRYSTAL ROCK LLC EMPLOYEE WELFARE BENEFIT PROGRAM 2009 161711865 2010-07-23 CRYSTAL ROCK LLC 311
Three-digit plan number (PN) 505
Effective date of plan 2004-03-01
Business code 339900
Sponsor’s telephone number 8026589112
Plan sponsor’s mailing address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Plan sponsor’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795

Plan administrator’s name and address
Administrator’s EIN 161711865
Plan administrator’s name CRYSTAL ROCK LLC
Plan administrator’s address 1050 BUCKINGHAM ST., WATERTOWN, CT, 06795
Administrator’s telephone number 8026589112

Number of participants as of the end of the plan year
Active participants 325
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing BRUCE MACDONALD
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
PETER K BAKER Officer 1050 BUCKINGHAM ST, WATERTOWN, CT, 06795, United States 118 GREY ROCK RD, SOUTHBURY, CT, 06488, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
PME.0006543 NON LEGEND DRUG PERMIT INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY No data 2001-11-26 2001-12-31
FWH.0000072 FOOD WAREHOUSE INACTIVE No data No data No data No data
VMA.0000969 VENDING MACHINE OPERATOR INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY No data 2004-07-01 2005-06-30
FWH.0000062 FOOD WAREHOUSE INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY 2015-03-13 2017-07-01 2018-06-30
FWH.0000063 FOOD WAREHOUSE INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY 2015-02-19 2017-07-01 2018-06-30
MSD.000125 MILK SUB-DEALER INACTIVE OUT OF BUSINESS 2010-07-01 2016-07-01 2017-06-30
VMA.0001510 VENDING MACHINE OPERATOR INACTIVE EXPIRED MORE THAN 3 YEARS - MUST REAPPLY 2007-04-04 2016-07-01 2017-06-30
NAB.0000224 NON-ALCOHOLIC BEVERAGE & WATER BOTTLERS INACTIVE OWNER CHANGE 2005-07-01 2017-07-01 2018-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011952942 2023-08-31 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011826188 2023-05-30 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0010151996 2021-11-19 2021-12-19 Agent Resignation Agent Resignation No data
0006465921 2019-03-14 No data Annual Report Annual Report 2018
0005962688 2017-11-08 No data Annual Report Annual Report 2017
0005696745 2016-11-15 No data Annual Report Annual Report 2016
0005429494 2015-11-13 No data Annual Report Annual Report 2015
0005225311 2014-11-24 No data Annual Report Annual Report 2014
0005002608 2013-12-17 No data Annual Report Annual Report 2013
0004753811 2012-11-28 No data Annual Report Annual Report 2012

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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