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CANCER CENTER OF CENTRAL CONNECTICUT, LLC

Company Details

Entity Name: CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 12 May 2006
Business ALEI: 0851233
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 55 MERIDEN AVE STE 1A SUITE 1A, SOUTHINGTON, CT, 06489, United States
Mailing address: 55 MERIDEN AVENUE SUITE 1A SUITE 1A, SOUTHINGTON, CT, United States, 06489
ZIP code: 06489
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: wyliehosmer@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2018 204892866 2019-02-08 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 25
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2019-02-08
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN 2018 204892866 2019-06-26 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Signature of

Role Plan administrator
Date 2019-06-26
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2017 204892866 2018-04-13 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2018-04-13
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2016 204892866 2017-05-01 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2017-05-01
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2015 204892866 2016-08-31 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2016-08-31
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2014 204892866 2015-06-08 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2013 204892866 2014-09-05 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2014-09-05
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2012 204892866 2013-08-20 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2013-08-20
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2011 204892866 2012-09-14 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2012-09-14
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature
CANCER CENTER OF CENTRAL CONNECTICUT, LLC 401K PROFIT SHARING PLAN 2010 204892866 2011-10-13 CANCER CENTER OF CENTRAL CONNECTICUT, LLC 16
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 8606219316
Plan sponsor’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237

Plan administrator’s name and address

Administrator’s EIN 204892866
Plan administrator’s name CANCER CENTER OF CENTRAL CONNECTICUT, LLC
Plan administrator’s address 55 MERIDEN AVENUE, STE 1A, SOUTHINGTON, CT, 064893237
Administrator’s telephone number 8606219316

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing PETER D. BYEFF, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Wylie Hosmer Agent 39 Hickory Lane, West Hartford, , 06107, United States 39 Hickory Lane, West Hartford, CT, 06107, United States +1 917-533-8631 wyliehosmer@hotmail.com 39 Hickory Lane, West Hartford, CT, 06107, United States

Officer

Name Role Business address Residence address
WYLIE HOSMER Officer 55 MERIDEN AVE,, SUITE 1A, SOUTHINGTON, CT, 06489, United States 39 HICKORY LANE, WEST HARTFORD, CT, 06117, United States
BRIAN J. BYRNE Officer 55 MERIDEN AVE STE 1A, SOUTHINGTON, CT, 06489, United States 51 WEISS WAY, SOUTHINGTON, CT, 06489, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012142428 2024-03-09 No data Annual Report Annual Report No data
BF-0011409789 2023-02-22 No data Annual Report Annual Report No data
BF-0011704898 2023-01-27 No data Mass Agent Change � Address Agent Address Change No data
BF-0010248167 2022-03-23 No data Annual Report Annual Report 2022
0007197827 2021-03-01 No data Annual Report Annual Report 2021
0006805728 2020-03-02 No data Annual Report Annual Report 2020
0006331661 2019-01-22 No data Annual Report Annual Report 2019
0006331652 2019-01-22 2019-01-22 Interim Notice Interim Notice No data
0006003790 2018-01-12 No data Annual Report Annual Report 2018
0005836543 2017-05-06 No data Annual Report Annual Report 2017

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website