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SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C.

Company Details

Entity Name: SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 26 Mar 1970
Date of dissolution: 31 Aug 2020
Business ALEI: 0013844
Annual report due: 30 Mar 2020
Business address: 447 MONTAUK AVE., NEW LONDON, CT, 06320, United States
Mailing address: 447 MONTAUK AVE., NEW LONDON, CT, United States, 06320
ZIP code: 06320
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: billatmystic@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2020 060861430 2021-02-05 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2021-02-05
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2019 060861430 2020-06-03 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2018 060861430 2019-10-15 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2017 060861430 2018-10-10 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2016 060861430 2017-10-05 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2017-10-05
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2015 060861430 2016-10-06 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2016-10-06
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-06
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2013 060861430 2014-02-14 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2012 060861430 2013-08-15 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2013-08-15
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-15
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2011 060861430 2012-10-15 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Plan administrator’s name and address

Administrator’s EIN 060861430
Plan administrator’s name SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C
Plan administrator’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320
Administrator’s telephone number 8604471426

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 401(K) PLAN 2010 060861430 2011-10-11 SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8604471426
Plan sponsor’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320

Plan administrator’s name and address

Administrator’s EIN 060861430
Plan administrator’s name SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C
Plan administrator’s address 447 MONTAUK AVENUE, NEW LONDON, CT, 06320
Administrator’s telephone number 8604471426

Signature of

Role Plan administrator
Date 2011-10-11
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing WILLIAM COLOM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Residence address
RICHARD J. PASCAL ATTORNEY Agent THE ANDERSON LAW BUILDING, 82 CHELSEA HARBOR DR., NORWICH, CT, 06360, United States THE ANDERSON LAW BUILDING, 82 CHELSEA HARBOR DR., NORWICH, CT, 06360, United States 15 STONY RIDGE ROAD, NORWICH, CT, 06360, United States

Officer

Name Role Business address Residence address
WILLIAM A. COLOM MD Officer 447 MONTAUK AVE., NEW LONDON, CT, 06320, United States 447 MONTAUK AVE., NEW LONDON, CT, 06320, United States

History

Type Old value New value Date of change
Name change NEW LONDON INTERNAL MEDICINE ASSOCIATES, P.C. SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, P.C. 1996-11-04
Name change DRS. COLOM & FRANK, P.C. NEW LONDON INTERNAL MEDICINE ASSOCIATES, P.C. 1993-04-29
Name change DRS. MURRAY, COLOM, FRANK, P.C. DRS. COLOM & FRANK, P.C. 1989-08-17
Name change DRS. SPITZ, MURRAY, COLOM, FRANK, P.C. DRS. MURRAY, COLOM, FRANK, P.C. 1988-01-08
Name change DRS. SPITZ, MURRAY, LEIB AND COLOM, P.C. DRS. SPITZ, MURRAY, COLOM, FRANK, P.C. 1984-10-23
Name change DRS. SPITZ, MURRAY, LEIB, P.C. DRS. SPITZ, MURRAY, LEIB AND COLOM, P.C. 1979-10-22

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006970202 2020-08-31 2020-08-31 Dissolution Certificate of Dissolution No data
0006427257 2019-03-06 No data Annual Report Annual Report 2019
0006195067 2018-06-02 2018-06-02 Change of Agent Agent Change No data
0006190384 2018-05-28 No data Annual Report Annual Report 2018
0006105288 2018-03-05 No data Annual Report Annual Report 2015
0006105296 2018-03-05 No data Annual Report Annual Report 2016
0006105303 2018-03-05 No data Annual Report Annual Report 2017
0006105279 2018-03-05 No data Annual Report Annual Report 2014
0005738419 2016-12-29 2016-12-29 Change of Agent Agent Change No data
0004963544 2013-10-16 No data Annual Report Annual Report 2012

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website