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  5. COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C.

COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C.

Company Details

Entity Name: COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 02 Oct 1969
Business ALEI: 0011468
Annual report due: 02 Oct 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States
Mailing address: 103 NORTH MAIN STREET, BRANFORD, CT, United States, 06405
ZIP code: 06405
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 0
E-Mail: tdamico@countyob.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 060858567 2024-04-19 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 103 N MAIN ST, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2024-04-19
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2021 060858567 2023-04-28 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 103 N MAIN ST, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2023-04-28
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2020 060858567 2022-04-26 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 103 N MAIN ST, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2022-04-26
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 060858567 2021-04-28 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 103 N MAIN ST, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 060858567 2020-05-20 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 103 N MAIN ST, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 060858567 2019-04-24 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 46 PRINCE STREET, SUITE 403, NEW HAVEN, CT, 06519

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 060858567 2018-07-16 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 46 PRINCE STREET, SUITE 403, NEW HAVEN, CT, 06519

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 060858567 2017-04-24 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 46 PRINCE STREET, SUITE 403, NEW HAVEN, CT, 06519

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature
COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 401(K) PROFIT SHARING PLAN 2014 060858567 2016-07-12 COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-10-01
Business code 621111
Sponsor’s telephone number 2033157076
Plan sponsor’s address 46 PRINCE STREET, SUITE 403, NEW HAVEN, CT, 06519

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing NORMAN A. RAVSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Adina Chelouche Agent 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States +1 203-464-4071 adina.chelouche@yale.edu 28 Fairgrounds Rd, Woodbridge, CT, 06525, United States

Officer

Name Role Business address Residence address
CRISTINA GIOIOSO-DATTA M.D. Officer 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States 18 HAMPTON DRIVE, WOODBRIDGE, CT, 06525, United States
CRAIG SAUER, MD Officer 103 N Main St, Branford, CT, 06405-3066, United States 545 Bronson Rd, Southport, CT, 06890-1277, United States
ADINA R. CHELOUCHE M.D. Officer 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States 28 FAIRGROUND ROAD, WOODBRIDGE, CT, 06525, United States
LJILJANA PLISIC M.D. Officer 103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States 2 MAMACOCK RD, NIANTIC, CT, 06357, United States

History

Type Old value New value Date of change
Name change G. A. INGENITO, M.D., AND ASSOCIATES, P.C. COUNTY OBSTETRICS & GYNECOLOGY GROUP, P.C. 1974-03-18

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012315140 2024-09-12 No data Annual Report Annual Report No data
BF-0011985884 2023-09-20 No data Annual Report Annual Report No data
BF-0010340442 2022-09-12 No data Annual Report Annual Report 2022
BF-0009819027 2021-09-18 No data Annual Report Annual Report No data
0006982225 2020-09-17 No data Annual Report Annual Report 2020
0006640322 2019-09-09 No data Annual Report Annual Report 2019
0006590600 2019-07-05 No data Change of Agent Address Agent Address Change No data
0006590598 2019-07-05 No data Interim Notice Interim Notice No data
0006382988 2019-02-14 No data Change of Email Address Business Email Address Change No data
0006260268 2018-10-17 No data Annual Report Annual Report 2018

Related by officers

Adina Chelouche

County OG, LLC PRINCE OBSTETRICS REALTY, LLC

Related by address

103 NORTH MAIN STREET, BRANFORD, CT, 06405, United States

SHORELINE PRIME MEATS & DELI, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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