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CONNECTICUT KIDNEY AND HYPERTENSION SPECIALISTS, LLC

Company Details

Entity Name: CONNECTICUT KIDNEY AND HYPERTENSION SPECIALISTS, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 23 May 2008
Business ALEI: 0939171
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 140 GRANDVIEW AVE SUITE 101, WATERBURY, CT, 06708, United States
Mailing address: 140 GRANDVIEW AVENUE SUITE 101, WATERBURY, CT, United States, 06708
ZIP code: 06708
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: mgmbutkevicius@gmail.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SPLWU7S4QJR8 2023-05-20 140 GRANDVIEW AVE, STE 101, WATERBURY, CT, 06708, 2518, USA 140 GRANDVIEW AVE STE 101, WATERBURY, CT, 06708, 2518, USA

Business Information

Division Name CONNECTICUT KIDNEY AND HYPERTENSION SPECIALISTS
Congressional District 05
State/Country of Incorporation CT, USA
Activation Date 2022-04-28
Initial Registration Date 2021-02-23
Entity Start Date 2009-06-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name IRENE CANCIANI
Address 140 GRANDVIEW AVENUE STE 101, WATERBURY, CT, 06708, USA
Government Business
Title PRIMARY POC
Name IRENE CANCIANI
Address 140 GRANDVIEW AVENUE STE 101, WATERBURY, CT, 06708, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION LLC 401(K) PROFIT SHARING PLAN 2015 262731148 2016-10-07 ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2035979733
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 101, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2016-10-07
Name of individual signing ANTHONY CUSANO
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION LLC 401(K) PROFIT SHARING PLAN 2010 262731148 2011-05-31 ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037575798
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 101, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 262731148
Plan administrator’s name ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC
Plan administrator’s address 140 GRANDVIEW AVENUE, SUITE 101, WATERBURY, CT, 06708
Administrator’s telephone number 2037575798

Signature of

Role Plan administrator
Date 2011-05-31
Name of individual signing JOSEPH RENDA, M.D.
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION LLC 401(K) PROFIT SHARING PLAN 2009 262731148 2010-10-10 ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037575798
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 104, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 262731148
Plan administrator’s name ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC
Plan administrator’s address 140 GRANDVIEW AVENUE, SUITE 104, WATERBURY, CT, 06708
Administrator’s telephone number 2037575798

Signature of

Role Plan administrator
Date 2010-10-10
Name of individual signing JOSEPH RENDA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DAVID M. LEVINE ESQ. Agent 1115 Broad Street, bridgeport, CT, 06604, United States 1115 Broad Street, bridgeport, CT, 06604, United States +1 203-337-4137 mgmbutkevicius@gmail.com 180 STONELEIGH SQUARE, FAIRFIELD, CT, 06432, United States

Officer

Name Role Business address Residence address
Krishna Sury Officer 140 GRANDVIEW AVE SUITE 101, WATERBURY, CT, 06708, United States 170 Beacon Hill Common, Beacon Falls, CT, 06403, United States
Sandeep Tiyyagura Officer 140 GRANDVIEW AVE SUITE101, WATERBURY, CT, 06708, United States 30 Rising Trail Dr, Cheshire, CT, 06410-3586, United States
George Sunny Pazhayattil Officer 140 GRANDVIEW AVE SUITE101, WATERBURY, CT, 06708, United States 28 Angelas Way, Burlington, CT, 06013-2442, United States
William Handelman Officer 140 GRANDVIEW AVE SUITE101, WATERBURY, CT, 06708, United States 89 East St, Morris, CT, 06763-1802, United States
Marc Ciampi,MD Officer 140 GRANDVIEW AVE SUITE101, WATERBURY, CT, 06708, United States 707 Andrea Ct, Cheshire, CT, 06410-2943, United States

History

Type Old value New value Date of change
Name change ASSOCIATED SPECIALISTS IN NEPHROLOGY AND HYPERTENSION, LLC CONNECTICUT KIDNEY AND HYPERTENSION SPECIALISTS, LLC 2014-05-07

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012283116 2024-04-16 No data Annual Report Annual Report No data
BF-0011284877 2023-02-23 No data Annual Report Annual Report No data
BF-0010532920 2022-04-06 No data Annual Report Annual Report No data
BF-0009748757 2022-03-08 No data Annual Report Annual Report 2020
BF-0009878259 2022-03-08 No data Annual Report Annual Report No data
BF-0009748756 2022-03-08 No data Annual Report Annual Report 2019
0006130638 2018-03-20 No data Annual Report Annual Report 2018
0006130628 2018-03-20 No data Annual Report Annual Report 2016
0006130631 2018-03-20 No data Annual Report Annual Report 2017
0005503960 2016-03-04 No data Annual Report Annual Report 2015

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website