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  5. MARK PETHICK DMD, PLLC

MARK PETHICK DMD, PLLC

Company Details

Entity Name: MARK PETHICK DMD, PLLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 31 Jan 2018
Business ALEI: 1261960
Annual report due: 31 Mar 2025
NAICS code: 621210 - Offices of Dentists
Business address: 532 CHAPEL ST., NEW HAVEN, CT, 06511, United States
Mailing address: 532 CHAPEL ST., NEW HAVEN, CT, United States, 06511
ZIP code: 06511
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: cgrice@gabesricelaw.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 824243603 2024-07-09 MARK PETHICK DMD PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing ALYSSA PETHICK
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 824243603 2023-07-13 MARK PETHICK DMD PLLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing MARK PETHICK
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 824243603 2022-10-03 MARK PETHICK DMD PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 824243603 2021-06-21 MARK PETHICK DMD PLLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2021-06-21
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 824243603 2020-09-22 MARK PETHICK DMD PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 824243603 2020-09-22 MARK PETHICK DMD PLLC 13
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 824243603 2020-07-07 MARK PETHICK DMD PLLC 13
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2018 824243603 2020-09-22 MARK PETHICK DMD PLLC 13
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401(K) PROFIT SHARING PLAN & TRUST 2018 824243603 2020-09-23 MARK PETHICK DMD PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing BONNIE CACACE
Valid signature Filed with authorized/valid electronic signature
MARK PETHICK DMD PLLC 401 K PROFIT SHARING PLAN TRUST 2018 824243603 2019-05-09 MARK PETHICK DMD PLLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-09-03
Business code 541990
Sponsor’s telephone number 2038654286
Plan sponsor’s address 532 CHAPEL STREET, NEW HAVEN, CT, 06511

Signature of
Role Plan administrator
Date 2019-05-09
Name of individual signing BONNIE S CACACE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
ALYSSA PETHICK Agent 532 CHAPEL STREET, NEW HAVEN, CT, 06511, United States 11 LAYDON AVENUE, NORTH HAVEN, CT, 06473, United States +1 203-627-2569 markpethick@comcast.net 11 LAYDON AVENUE, NORTH HAVEN, CT, 06473, United States

Officer

Name Role Business address Residence address
MARK PETHICK Officer 11 LAYDON AVENUE, NORTH HAVEN, CT, 06473, United States 11 LAYDON AVENUE, NORTH HAVEN, CT, 06473, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012303790 2024-03-08 No data Annual Report Annual Report No data
BF-0011354457 2023-02-28 No data Annual Report Annual Report No data
BF-0010396467 2022-02-28 No data Annual Report Annual Report 2022
0007205546 2021-03-05 No data Annual Report Annual Report 2021
0006754898 2020-02-13 No data Annual Report Annual Report 2020
0006389237 2019-02-18 No data Annual Report Annual Report 2019
0006162063 2018-04-09 2018-04-09 Change of Business Address Business Address Change No data
0006048795 2018-01-31 2018-01-31 Business Formation Certificate of Organization No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Connecticut's Official State Website

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