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  5. PLAINVILLE FAMILY DENTAL, LLC

PLAINVILLE FAMILY DENTAL, LLC

Company Details

Entity Name: PLAINVILLE FAMILY DENTAL, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 24 Jun 2015
Business ALEI: 1179396
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 20 PINE ST, PLAINVILLE, CT, 06062, United States
Mailing address: 20 PINE ST, PLAINVILLE, CT, United States, 06062
ZIP code: 06062
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: strickland.andrew@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2023 474398554 2024-09-20 PLAINVILLE FAMILY DENTAL, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2024-09-19
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-19
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2022 474398554 2023-09-18 PLAINVILLE FAMILY DENTAL, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-18
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2021 474398554 2022-08-15 PLAINVILLE FAMILY DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-15
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2020 474398554 2021-08-24 PLAINVILLE FAMILY DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-24
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2019 474398554 2020-09-11 PLAINVILLE FAMILY DENTAL, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2020-09-11
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-11
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2018 474398554 2019-06-13 PLAINVILLE FAMILY DENTAL, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2019-06-13
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-13
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
PLAINVILLE FAMILY DENTAL, LLC 401(K) PLAN 2017 474398554 2018-05-21 PLAINVILLE FAMILY DENTAL, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621210
Sponsor’s telephone number 8607932211
Plan sponsor’s address 20 PINE STREET, PLAINVILLE, CT, 06062

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing ANDREW STRICKLAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ANDREW STRICKLAND Agent 20 PINE STREET, PLAINVILLE, CT, 06062, United States 20 PINE STREET, PLAINVILLE, CT, 06062, United States +1 541-968-8845 STRICKLAND.ANDREW@GMAIL.COM 3 Hinchley Wood, Farmington, CT, 06032-1457, United States

Officer

Name Role Business address Phone E-Mail Residence address
ANDREW STRICKLAND Officer 20 PINE ST, PLAINVILLE, CT, 06062, United States +1 541-968-8845 STRICKLAND.ANDREW@GMAIL.COM 3 Hinchley Wood, Farmington, CT, 06032-1457, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012418689 2024-03-13 No data Annual Report Annual Report No data
BF-0011217167 2023-01-26 No data Annual Report Annual Report No data
BF-0010243061 2022-03-29 No data Annual Report Annual Report 2022
0007111180 2021-02-02 No data Annual Report Annual Report 2021
0007111171 2021-02-02 No data Annual Report Annual Report 2020
0006394709 2019-02-20 No data Annual Report Annual Report 2019
0006093179 2018-02-23 No data Annual Report Annual Report 2018
0005877876 2017-06-30 No data Annual Report Annual Report 2017
0005877870 2017-06-30 No data Annual Report Annual Report 2016
0005688064 2016-10-28 2016-10-28 Change of Agent Agent Change No data

Related by officers

ANDREW STRICKLAND

20 PINE STREET, LLC

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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