| Entity Name: | AZ DENTAL PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 11 Jul 2023 |
| Business ALEI: | 2819776 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621210 - Offices of Dentists |
| Business address: | 64 GROVE ST, PUTNAM, CT, 06260, United States |
| Mailing address: | 64 GROVE ST, PUTNAM, CT, United States, 06260 |
| ZIP code: | 06260 |
| County: | Windham |
| Place of Formation: | CONNECTICUT |
| E-Mail: | adi@jafainc.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AZ DENTAL PLLC 401K | 2023 | 932351965 | 2024-09-12 | AZ DENTAL PLLC | 7 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-09-12 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| MOAZ ZANBARAKJI | Agent | 64 GROVE ST, PUTNAM, CT, 06260, United States | 64 GROVE ST, PUTNAM, CT, 06260, United States | +1 571-216-8235 | adi@jafainc.com | 64 GROVE ST, PUTNAM, CT, 06260, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| YAZAN ABOU ZAKHEM | Officer | No data | No data | No data | 5 CONSTITUTION CT, HOPKINTON, MA, 01748, United States |
| MOAZ ZANBARAKJI | Officer | 64 GROVE ST, PUTNAM, CT, 06260, United States | +1 571-216-8235 | adi@jafainc.com | 64 GROVE ST, PUTNAM, CT, 06260, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012458705 | 2024-02-06 | No data | Annual Report | Annual Report | No data |
| BF-0011880525 | 2023-07-11 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
