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WATERBURY NEUROLOGY, LLC

Company Details

Entity Name: WATERBURY NEUROLOGY, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 13 May 2005
Business ALEI: 0821293
Annual report due: 31 Mar 2017
Business address: 1625 STRAITS TURNPIKE SUITE 307, MIDDLEBURY, CT, 06762
ZIP code: 06762
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: acompbookkeeping@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2021 202897259 2022-08-16 WATERBURY NEUROLOGY, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2021 202897259 2022-08-16 WATERBURY NEUROLOGY, LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2020 202897259 2021-09-16 WATERBURY NEUROLOGY, LLC 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2019 202897259 2020-07-23 WATERBURY NEUROLOGY, LLC 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2018 202897259 2019-07-02 WATERBURY NEUROLOGY, LLC 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2017 202897259 2018-08-02 WATERBURY NEUROLOGY, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2016 202897259 2017-08-10 WATERBURY NEUROLOGY, LLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2015 202897259 2016-06-16 WATERBURY NEUROLOGY, LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2014 202897259 2015-10-05 WATERBURY NEUROLOGY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1625 STRAITS TPKE STE 307, MIDDLEBURY, CT, 067621835
WATERBURY NEUROLOGY, LLC 401(K) PLAN 2013 202897259 2014-06-03 WATERBURY NEUROLOGY, LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2037582635
Plan sponsor’s address 1579 STRAITS TPKE STE B4, MIDDLEBURY, CT, 067621835

Agent

Name Role Business address E-Mail Residence address
JOHN T. DEL NEGRO Agent DEL NEGRO & FELDMAN, LLC, 225 ASYLUM STREET, HARTFORD, CT, 06103, United States acompbookkeeping@gmail.com 71 NOOK FARMS ROAD, WINDSOR, CT, 06095, United States

Officer

Name Role Business address Residence address
KENNETH KAPLOVE MD Officer 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States 5 QUAIL RIDGE, FARMINGTON, CT, 06032, United States
DAVID TKESHELASHVILI M.D. Officer 1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762, United States 291 BEAR HILL RD, BETHANY, CT, 06524, United States
DR. POOIA FATTAHI Officer 1625 STRAITS TURNPIKE, SUITE 307, MIDDLEBURY, CT, 06762, United States 120 LITTLE FOX, SOUTHBURY, CT, 06488, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011831711 2023-06-05 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011718824 2023-03-01 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005571086 2016-05-20 No data Annual Report Annual Report 2014
0005571102 2016-05-20 No data Annual Report Annual Report 2016
0005571095 2016-05-20 No data Annual Report Annual Report 2015
0004843350 2013-04-18 No data Annual Report Annual Report 2013
0004589139 2012-04-24 No data Annual Report Annual Report 2012
0004512507 2012-01-26 No data Annual Report Annual Report 2011
0004213830 2010-06-04 No data Annual Report Annual Report 2010
0003963047 2009-05-27 No data Annual Report Annual Report 2009

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website