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PRIVATE OB GYN ASSOCIATES, LLC

Company Details

Entity Name: PRIVATE OB GYN ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 30 Dec 2013
Business ALEI: 1128049
Annual report due: 31 Mar 2019
Business address: 1488 CHAPEL STREET, NEW HAVEN, CT, 06511
ZIP code: 06511
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: palluotto_eric_c@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIVATE OB-GYN ASSOCIATES PROFIT SHARING PLAN 2013 061385979 2014-01-30 PRIVATE OB-GYN ASSOCIATES 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2035629939
Plan sponsor’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2014-01-30
Name of individual signing ERIC PALLUOTTO
Valid signature Filed with authorized/valid electronic signature
PRIVATE OB-GYN ASSOCIATES PROFIT SHARING PLAN 2012 061385979 2013-09-09 PRIVATE OB-GYN ASSOCIATES 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2035629939
Plan sponsor’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of

Role Plan administrator
Date 2013-09-09
Name of individual signing ERIC PALLUOTTO
Valid signature Filed with authorized/valid electronic signature
PRIVATE OB-GYN ASSOCIATES PROFIT SHARING PLAN 2011 061385979 2012-07-13 PRIVATE OB-GYN ASSOCIATES 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2035629939
Plan sponsor’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511

Plan administrator’s name and address

Administrator’s EIN 061385979
Plan administrator’s name PRIVATE OB-GYN ASSOCIATES
Plan administrator’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511
Administrator’s telephone number 2035629939

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing ERIC PALLUOTTO
Valid signature Filed with authorized/valid electronic signature
PRIVATE OB-GYN ASSOCIATES PROFIT SHARING PLAN 2010 061385979 2011-10-14 PRIVATE OB-GYN ASSOCIATES 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2035629939
Plan sponsor’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511

Plan administrator’s name and address

Administrator’s EIN 061385979
Plan administrator’s name PRIVATE OB-GYN ASSOCIATES
Plan administrator’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511
Administrator’s telephone number 2035629939

Signature of

Role Plan administrator
Date 2011-10-14
Name of individual signing ERIC PALLUOTTO
Valid signature Filed with authorized/valid electronic signature
PRIVATE OB-GYN ASSOCIATES PROFIT SHARING PLAN 2009 061385979 2010-10-11 PRIVATE OB-GYN ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 2035629939
Plan sponsor’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511

Plan administrator’s name and address

Administrator’s EIN 061385979
Plan administrator’s name PRIVATE OB-GYN ASSOCIATES
Plan administrator’s address 1488 CHAPEL STREET, NEW HAVEN, CT, 06511
Administrator’s telephone number 2035629939

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing ERIC PALLUOTTO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
ERIC C PALLUOTTO M.D. Agent 1488 CHAPEL ST, NEW HAVEN, CT, 06511, United States palluotto_eric_c@sbcglobal.net 230 OLD LANE RD, CHESHIRE, CT, 06410, United States

Officer

Name Role Business address E-Mail Residence address
ERIC C. PALLUTTO Officer 1488 CHAPEL STREET, NEW HAVEN, CT, 06511, United States No data 230 OLD LANE ROAD, CHESHIRE, CT, 06410, United States
ERIC C PALLUOTTO M.D. Officer 1488 CHAPEL ST, NEW HAVEN, CT, 06511, United States palluotto_eric_c@sbcglobal.net 230 OLD LANE RD, CHESHIRE, CT, 06410, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011963189 2023-09-07 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011832423 2023-06-05 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006073232 2018-02-13 No data Annual Report Annual Report 2017
0006073217 2018-02-13 No data Annual Report Annual Report 2016
0006073277 2018-02-13 No data Annual Report Annual Report 2018
0005613851 2016-07-26 2016-07-26 Interim Notice Interim Notice No data
0005612084 2016-07-25 No data Annual Report Annual Report 2014
0005612093 2016-07-25 No data Annual Report Annual Report 2015
0005011461 2013-12-30 No data Business Formation Certificate of Organization No data

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website