| Entity Name: | LIFESTYLE MEDICINE CENTER LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 20 Feb 2014 |
| Business ALEI: | 1132721 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 2777 SUMMER STREET SUITE 604, STAMFORD, CT, 06905, United States |
| Mailing address: | 108 GLENVILLE ROAD, GREENWICH, CT, United States, 06831 |
| ZIP code: | 06905 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| E-Mail: | lifestylemedcenter@gmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIFESTYLE MEDICINE CENTER 401K PLAN | 2023 | 464915793 | 2024-09-04 | LIFESTYLE MEDICINE CENTER | 5 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-09-04 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-08-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2036148517 |
| Plan sponsor’s address | 2777 SUMMER ST, STE 604, STAMFORD, CT, 06905 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-13 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| MADHU MATHUR | Agent | 2777 SUMMER STREET, STE 604, STAMFORD, CT, 06905, United States | 2777 SUMMER STREET, STE 604, STAMFORD, CT, 06905, United States | +1 203-550-0665 | lifestylemedcenter@gmail.com | 108 GLENVILLE ROAD, GREENWICH, CT, 06831, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| MADHU MATHUR | Officer | 2777 SUMMER ST, STE 604, STAMFORD, CT, 06905, United States | +1 203-550-0665 | lifestylemedcenter@gmail.com | 108 GLENVILLE ROAD, GREENWICH, CT, 06831, United States |
| VIKAS MATHUR | Officer | 2777 SUMMER ST, STE 604, STAMFORD, CT, 06905, United States | No data | No data | 108 GLENVILLE ROAD, GREENWICH, CT, 06831, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012230855 | 2024-01-23 | No data | Annual Report | Annual Report | No data |
| BF-0011324730 | 2023-01-21 | No data | Annual Report | Annual Report | No data |
| BF-0010224062 | 2022-03-01 | No data | Annual Report | Annual Report | 2022 |
| 0007269509 | 2021-03-30 | No data | Annual Report | Annual Report | 2021 |
| 0006788956 | 2020-02-26 | No data | Annual Report | Annual Report | 2020 |
| 0006397317 | 2019-02-21 | No data | Annual Report | Annual Report | 2019 |
| 0006041657 | 2018-01-29 | No data | Annual Report | Annual Report | 2018 |
| 0005759782 | 2017-02-02 | No data | Annual Report | Annual Report | 2017 |
| 0005470735 | 2016-01-25 | No data | Annual Report | Annual Report | 2016 |
| 0005296614 | 2015-03-13 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 06 Jan 2025
Sources: Connecticut's Official State Website
