| Entity Name: | FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 05 Dec 2007 |
| Business ALEI: | 0920943 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States |
| Mailing address: | 2543 DIXWELL AVENUE, HAMDEN, CT, United States, 06514 |
| ZIP code: | 06514 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | prabu125@aol.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE LL PENSION PLAN | 2011 | 260067861 | 2012-10-04 | FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE LLC | 7 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 260067861 |
| Plan administrator’s name | FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE LLC |
| Plan administrator’s address | 2543 DIXWELL AVENUE, HAMDEN, CT, 06574 |
| Administrator’s telephone number | 2032304160 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-04 |
| Name of individual signing | BABU KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2032304160 |
| Plan sponsor’s address | 2543 DIXWELL AVENUE, HAMDEN, CT, 06574 |
Plan administrator’s name and address
| Administrator’s EIN | 260067861 |
| Plan administrator’s name | FAMILY AND INTERNAL MEDICINE OF DIXWELL AVENUE LLC |
| Plan administrator’s address | 2543 DIXWELL AVENUE, HAMDEN, CT, 06574 |
| Administrator’s telephone number | 2032304160 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | BABU KUMAR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| EDWARD J. LOUGHLIN | Agent | 221 NORTH MAIN ST, WALLINGFORD, CT, 06492, United States | 221 NORTH MAIN ST, WALLINGFORD, CT, 06492, United States | +1 203-265-3030 | prabu125@aol.com | 216 HIGH STREET, WALLINGFORD, CT, 06492, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| BABU S. KUMAR | Officer | 2543 DIXWELL AVENUE, HAMDEN, CT, 06514, United States | 125 SCENIC COURT, CHESHIRE, CT, 06410, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012289892 | 2024-04-18 | No data | Annual Report | Annual Report | No data |
| BF-0011282702 | 2023-05-10 | No data | Annual Report | Annual Report | No data |
| BF-0010302015 | 2022-03-23 | No data | Annual Report | Annual Report | 2022 |
| 0007108212 | 2021-02-02 | No data | Annual Report | Annual Report | 2021 |
| 0006935315 | 2020-06-29 | No data | Annual Report | Annual Report | 2020 |
| 0006454392 | 2019-03-12 | No data | Annual Report | Annual Report | 2018 |
| 0006454399 | 2019-03-12 | No data | Annual Report | Annual Report | 2019 |
| 0006083249 | 2018-02-16 | No data | Annual Report | Annual Report | 2017 |
| 0005724377 | 2016-12-23 | No data | Annual Report | Annual Report | 2016 |
| 0005724366 | 2016-12-23 | No data | Annual Report | Annual Report | 2013 |
Date of last update: 27 Jan 2025
Sources: Connecticut's Official State Website
