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  5. NEW CANAAN PERSONAL MEDICINE, P.C.

NEW CANAAN PERSONAL MEDICINE, P.C.

Company Details

Entity Name: NEW CANAAN PERSONAL MEDICINE, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 20 Jun 2014
Business ALEI: 1146679
Annual report due: 20 Jun 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 173 EAST AVE, NEW CANAAN, CT, 06840, United States
Mailing address: 173 EAST AVE, NEW CANAAN, CT, United States, 06840
ZIP code: 06840
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 200
E-Mail: tslim1294@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2023 471183745 2024-09-27 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2022 471183745 2023-07-20 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2021 471183745 2022-10-14 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2020 471183745 2021-08-17 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2019 471183745 2020-08-20 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-20
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2018 471183745 2019-10-01 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2017 471183745 2018-09-21 NEW CANAAN PERSONAL MEDICINE 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN PERSONAL MEDICINE PROFIT SHARING PLAN 2016 471183745 2017-08-17 NEW CANAAN PERSONAL MEDICINE 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2039724236
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARK J. FOX Agent 125 ELM STREET, NEW CANAAN, CT, 06840, United States 125 ELM STREET, NEW CANAAN, CT, 06840, United States +1 646-379-3559 tslim1294@gmail.com 125 ELM STREET, NEW CANAAN, CT, 06840, United States

Officer

Name Role Business address Residence address
JULIA H. VOYTOVICH M.D. Officer 173 EAST AVE, NEW CANAAN, CT, 06840, United States 98 CEDAR WOOD ROAD, STAMFORD, CT, 06903, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012229804 2024-06-05 No data Annual Report Annual Report No data
BF-0011318857 2023-06-19 No data Annual Report Annual Report No data
BF-0010285358 2022-06-17 No data Annual Report Annual Report 2022
BF-0009754158 2021-07-15 No data Annual Report Annual Report No data
0006921236 2020-06-10 No data Annual Report Annual Report 2020
0006576019 2019-06-13 No data Annual Report Annual Report 2019
0006189501 2018-05-24 No data Annual Report Annual Report 2018
0005878796 2017-06-26 2017-06-26 First Report Organization and First Report No data
0005129454 2014-06-20 No data Business Formation Certificate of Incorporation No data

Related by officers

No related officers

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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