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SHORELINE PERIODONTICS, P.C.

Company Details

Entity Name: SHORELINE PERIODONTICS, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 02 Apr 1970 (Companies founded in April 1970)
Business ALEI: 0013845
Annual report due: 02 Apr 2025
NAICS code: 621210 - Offices of Dentists
Business address: 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320, United States
Mailing address: 190 HEMPSTEAD STREET, NEW LONDON, CT, United States, 06320
ZIP code: 06320 (Companies in New London, 06320)
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 0
E-Mail: dayotte@resolutedentalpartners.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2016 060861436 2017-07-27 SHORELINE PERIODONTICS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2017-07-27
Name of individual signing GREGORY A. TOBACK, DMD
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2015 060861436 2016-05-10 SHORELINE PERIODONTICS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2014 060861436 2015-03-30 SHORELINE PERIODONTICS, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2015-03-30
Name of individual signing GREGORY A. TOBACK, DMD
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2013 060861436 2014-03-13 SHORELINE PERIODONTICS, P.C. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2014-03-13
Name of individual signing GREGORY A. TOBACK, DMD
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2012 060861436 2013-07-22 SHORELINE PERIODONTICS, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Signature of

Role Plan administrator
Date 2013-07-22
Name of individual signing GREGORY A. TOBACK, DMD
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2011 060861436 2012-08-06 SHORELINE PERIODONTICS, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Plan administrator’s name and address

Administrator’s EIN 060861436
Plan administrator’s name SHORELINE PERIODONTICS, P.C.
Plan administrator’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320
Administrator’s telephone number 8604435298

Signature of

Role Plan administrator
Date 2012-08-06
Name of individual signing GREGORY A. TOBACK, DMD
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2010 060861436 2011-09-28 SHORELINE PERIODONTICS, P.C. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Plan administrator’s name and address

Administrator’s EIN 060861436
Plan administrator’s name SHORELINE PERIODONTICS, P.C.
Plan administrator’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320
Administrator’s telephone number 8604435298

Signature of

Role Plan administrator
Date 2011-09-28
Name of individual signing GREGORY TOBACK
Valid signature Filed with authorized/valid electronic signature
SHORELINE PERIODONTICS, P.C. 401(K) PROFIT SHARING PLAN 2009 060861436 2010-10-11 SHORELINE PERIODONTICS, P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1970-05-01
Business code 621210
Sponsor’s telephone number 8604435298
Plan sponsor’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320

Plan administrator’s name and address

Administrator’s EIN 060861436
Plan administrator’s name SHORELINE PERIODONTICS, P.C.
Plan administrator’s address 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320
Administrator’s telephone number 8604435298

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing GREGORY TOBACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing GREGORY TOBACK
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
GREGORY TOBACK Officer 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320, United States +1 860-776-6240 dayotte@resolutedentalpartners.com 21 WILLOW LANE, EAST LYME, CT, 06333, United States

Director

Name Role Business address Phone E-Mail Residence address
GREGORY TOBACK Director 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320, United States +1 860-776-6240 dayotte@resolutedentalpartners.com 21 WILLOW LANE, EAST LYME, CT, 06333, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
GREGORY TOBACK Agent 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320, United States 190 HEMPSTEAD STREET, NEW LONDON, CT, 06320, United States +1 860-776-6240 dayotte@resolutedentalpartners.com 21 WILLOW LANE, EAST LYME, CT, 06333, United States

History

Type Old value New value Date of change
Name change DRS. STONER AND SCHECTMAN, P.C. SHORELINE PERIODONTICS, P.C. 1987-05-20
Name change CARL STONER, D.D.S., P.C. DRS. STONER AND SCHECTMAN, P.C. 1972-10-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012318108 2024-03-08 No data Annual Report Annual Report No data
BF-0011088361 2023-03-31 No data Annual Report Annual Report No data
BF-0010226339 2022-03-29 No data Annual Report Annual Report 2022
0007352583 2021-05-26 No data Annual Report Annual Report 2021
0007107929 2021-02-02 2021-02-02 Change of Agent Agent Change No data
0006810563 2020-03-04 No data Annual Report Annual Report 2020
0006476793 2019-03-19 No data Annual Report Annual Report 2019
0006153498 2018-04-05 No data Annual Report Annual Report 2018
0005829681 2017-05-01 No data Annual Report Annual Report 2017
0005554934 2016-05-03 No data Annual Report Annual Report 2016

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website