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HAWLEY LANE DENTAL, LLC

Company Details

Entity Name: HAWLEY LANE DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 16 Jan 2008
Business ALEI: 0924747
Annual report due: 31 Mar 2024
NAICS code: 621210 - Offices of Dentists
Business address: 475 HAWLEY LANE, STRATFORD, CT, 06614, United States
Mailing address: 475 HAWLEY LANE, STE 9, STRATFORD, CT, United States, 06614
ZIP code: 06614
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: bill@hawleylanedental.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAWLEY LANE DENTAL 401K PLAN 2023 352321940 2024-04-02 HAWLEY LANE DENTAL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614

Signature of

Role Plan administrator
Date 2024-04-02
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-02
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
HAWLEY LANE DENTAL 401K PLAN 2022 352321940 2023-07-25 HAWLEY LANE DENTAL 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614

Signature of

Role Plan administrator
Date 2023-07-21
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-21
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
HAWLEY LANE DENTAL 401K PLAN 2021 352321940 2022-06-28 HAWLEY LANE DENTAL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614

Signature of

Role Plan administrator
Date 2022-06-22
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing KRISTY GRETZULA
Valid signature Filed with authorized/valid electronic signature
HAWLEY LANE DENTAL 401K PLAN 2020 352321940 2021-03-05 HAWLEY LANE DENTAL 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614
HAWLEY LANE DENTAL 401K PLAN 2019 352321940 2020-09-26 HAWLEY LANE DENTAL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614
HAWLEY LANE DENTAL 401K PLAN 2018 352321940 2019-09-23 HAWLEY LANE DENTAL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614
HAWLEY LANE DENTAL 401K PLAN 2017 352321940 2018-05-22 HAWLEY LANE DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614
HAWLEY LANE DENTAL 401K PLAN 2016 352321940 2017-05-30 HAWLEY LANE DENTAL 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 2033779300
Plan sponsor’s address 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614

Officer

Name Role Business address Residence address
KRISTY L. GRETZULA Officer 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614, United States 475 HAWLEY LANE, STE 9, STRATFORD, CT, 06614, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
KRISTY GRETZULA Agent 475 HAWLEY LANE, Ste 9, STRATFORD, CT, 06614, United States 475 HAWLEY LANE, STRATFORD, CT, 06614, United States +1 203-377-9300 bill@hawleylanedental.com CT, 475 HAWLEY LANE, Ste 9, STRATFORD, CT, 06614, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011283813 2023-05-30 No data Annual Report Annual Report No data
BF-0010310009 2022-03-28 No data Annual Report Annual Report 2022
0007172197 2021-02-18 No data Annual Report Annual Report 2021
0007171910 2021-02-16 No data Annual Report Annual Report 2020
0006344202 2019-01-29 No data Annual Report Annual Report 2016
0006344224 2019-01-29 No data Annual Report Annual Report 2019
0006344207 2019-01-29 No data Annual Report Annual Report 2017
0006344215 2019-01-29 No data Annual Report Annual Report 2018
0005866749 2017-06-13 No data Annual Report Annual Report 2015
0005013481 2014-01-02 No data Annual Report Annual Report 2013

Date of last update: 20 Jan 2025

Sources: Connecticut's Official State Website