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  5. BAGINSKI MEDICAL, LLC

BAGINSKI MEDICAL, LLC

Company Details

Entity Name: BAGINSKI MEDICAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 06 Apr 2005
Business ALEI: 0817518
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 4 CORPORATE DRIVE SUITE 185 SUITE 185, SHELTON, CT, 06484, United States
Mailing address: 4 CORPORATE DRIVE SUITE 185, SHELTON, CT, United States, 06484
ZIP code: 06484
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: pbawzed@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2023 202691710 2024-07-10 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2022 202691710 2023-06-21 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2021 202691710 2022-06-29 BAGINSKI MEDICAL LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2020 202691710 2021-08-26 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2021-08-26
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2019 202691710 2020-06-05 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2020-06-05
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2018 202691710 2019-05-24 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2017 202691710 2018-06-15 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature
BAGINSKI MEDICAL LLC 401(K) P/S PLAN 2016 202691710 2017-05-12 BAGINSKI MEDICAL LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039449775
Plan sponsor’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 202691710
Plan administrator’s name BAGINSKI MEDICAL LLC
Plan administrator’s address 4 CORPORATE DR STE 185, SHELTON, CT, 06484
Administrator’s telephone number 2039449775

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing PIOTR BAGINSKI
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
PIOTR W. BAGINSKI Officer 4 CORPORATE DRIVE, SUITE 283, SHELTON, CT, 06484, United States +1 203-944-9775 pbawzed@hotmail.com 3 HICKORY LANE, ANSONIA, CT, 06401, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PIOTR W. BAGINSKI Agent 4 CORPORATE DRIVE SUITE 185, SHELTON, CT, 06484, United States 4 CORPORATE DRIVE SUITE 185, SHELTON, CT, 06484, United States +1 203-944-9775 pbawzed@hotmail.com 3 HICKORY LANE, ANSONIA, CT, 06401, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012131879 2024-02-23 No data Annual Report Annual Report No data
BF-0011167875 2023-01-13 No data Annual Report Annual Report No data
BF-0010341539 2022-03-03 No data Annual Report Annual Report 2022
0007204970 2021-03-04 No data Annual Report Annual Report 2021
0006759298 2020-02-17 No data Annual Report Annual Report 2020
0006494836 2019-03-26 No data Annual Report Annual Report 2019
0006329415 2019-01-21 No data Annual Report Annual Report 2018
0005823751 2017-04-21 No data Annual Report Annual Report 2017
0005539213 2016-04-13 No data Annual Report Annual Report 2016
0005539207 2016-04-13 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

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Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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