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  5. NORTHEAST PEDIATRIC SPECIALISTS, INC.

NORTHEAST PEDIATRIC SPECIALISTS, INC.

Company Details

Entity Name: NORTHEAST PEDIATRIC SPECIALISTS, INC.
Jurisdiction: Connecticut
Legal type: Non-Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 13 Sep 2011
Date of dissolution: 25 Sep 2020
Business ALEI: 1038873
Annual report due: 14 Sep 2021
NAICS code: 624110 - Child and Youth Services
Business address: C/O CONNECTICUT CHILDREN'S MEDICAL CTR 282 WASHINGTON ST, HARTFORD, CT, 06106, United States
Mailing address: C/O CONNECTICUT CHILDREN'S MEDICAL CTR 282 WASHINGTON ST, HARTFORD, CT, United States, 06106
ZIP code: 06106
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: Compliancemail@cscinfo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2020 454092557 2021-05-24 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2021-05-24
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2020 454092557 2021-08-23 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2021-08-23
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2019 454092557 2020-06-23 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2020-06-23
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2018 454092557 2019-10-15 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2017 454092557 2018-10-08 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2016 454092557 2017-09-12 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2017-09-12
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2015 454092557 2016-10-17 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2014 454092557 2015-09-30 NORTHEAST PEDIATRIC SPECIALISTS, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2013 454092557 2015-05-20 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing RICHARD DICICCIO
Valid signature Filed with authorized/valid electronic signature
NORTHEAST PEDIATRIC SPECIALISTS, INC. RETIREMENT SAVINGS PLAN 2013 454092557 2014-09-22 NORTHEAST PEDIATRIC SPECIALISTS, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 2012-08-01
Business code 621111
Sponsor’s telephone number 8608376103
Plan sponsor’s address 282 WASHINGTON STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing LAWRENCE MILAN
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
CHRISTINE FINCK MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
MICHAEL CATY MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
CYNTHIA SPARER Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREEET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CENTER, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
JAMES SHMERLING Officer C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
ALAN FRIEDMAN MD Officer C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDRENS MEDICAL CTR, 282 WASHINGTON ST, HARTFORD, CT, 06106, United States
CLIFFORD BOGUE MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States
WILLIAM POPIK MD Officer C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States C/O CONNECTICUT CHILDREN'S MEDICAL CTR, 282 WASHINGTON STREET, HARTFORD, CT, 06106, United States

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010473531 2022-01-14 2022-01-14 Mass Agent Change � Address Agent Address Change No data
0006991572 2020-09-25 2020-09-25 Dissolution Certificate of Dissolution No data
0006976739 2020-09-10 No data Annual Report Annual Report 2020
0006950703 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006943532 2020-07-06 2020-07-06 Change of Agent Address Agent Address Change No data
0006637432 2019-09-05 No data Annual Report Annual Report 2019
0006227666 2018-08-06 No data Annual Report Annual Report 2018
0005898930 2017-08-01 No data Annual Report Annual Report 2017
0005662367 2016-10-03 No data Annual Report Annual Report 2016
0005659337 2016-09-14 2016-09-14 Change of Agent Agent Change No data

Related by officers

CYNTHIA SPARER

YALE NEW HAVEN AMBULATORY SERVICES CORPORATION YNH NETWORK CORPORATION

JAMES SHMERLING

CCMC AFFILIATES, INC.

Related by address

No related companies by address

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website

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