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GREENWICH UROLOGICAL ASSOCIATES, P.C.

Company Details

Entity Name: GREENWICH UROLOGICAL ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 01 Jul 1969
Business ALEI: 0020257
Business address: 49 LAKE AVENUE, GREENWICH, CT, 06830
ZIP code: 06830
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 0
E-Mail: contactus@greenwichurology.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2020 060855632 2021-07-20 GREENWICH UROLOGICAL ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing CATHERINE ALONZO, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST (PSK) 2020 060855632 2021-07-20 GREENWICH UROLOGICAL ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing CATHERINE ALONZO, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2019 060855632 2020-06-15 GREENWICH UROLOGICAL ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2020-06-15
Name of individual signing CATHERINE ALONZO, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2018 060855632 2019-08-16 GREENWICH UROLOGICAL ASSOCIATES, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2019-08-16
Name of individual signing CATHERINE ALONZO, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2017 060855632 2018-10-05 GREENWICH UROLOGICAL ASSOCIATES, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2018-10-05
Name of individual signing CATHERINE ALONZO, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2016 060855632 2017-10-13 GREENWICH UROLOGICAL ASSOCIATES, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2017-10-13
Name of individual signing JEFFREY RANTA, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2015 060855632 2016-09-22 GREENWICH UROLOGICAL ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2016-09-22
Name of individual signing JEFFREY RANTA, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2014 060855632 2015-10-13 GREENWICH UROLOGICAL ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing JEFFREY RANTA, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2013 060855632 2014-10-06 GREENWICH UROLOGICAL ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2014-10-06
Name of individual signing JEFFREY RANTA, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH UROLOGICAL ASSOCIATES, P.C. RETIREMENT TRUST(PSK) 2012 060855632 2013-10-02 GREENWICH UROLOGICAL ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-07-01
Business code 621111
Sponsor’s telephone number 2038691285
Plan sponsor’s address 49 LAKE AVENUE, GREENWICH, CT, 06830

Signature of

Role Plan administrator
Date 2013-10-02
Name of individual signing JEFFREY RANTA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
TIMOTHY F NOLAN Agent 49 LAKE AVE, GREENWICH, CT, 06830, United States contactus@greenwichurology.com 647 LAKE AVE, GREENWICH, CT, 06830, United States

Officer

Name Role Business address Residence address
JEFFREY A. RANTA Officer GREENWICH UROLOGICAL ASSOCIATES, 49 LAKE AVENUE, GREENWICH, CT, 06830, United States 32 FLYING CLOUD ROAD, STAMFORD, CT, 06902, United States
NICHOLAS STROUMBAKIS Officer GREENWICH UROLOGICAL ASSOCIATES, 49 LAKE AVENUE, GREENWICH, CT, 06830, United States 25 MIMOSA DRIVE, COS COB, CT, 06807, United States

History

Type Old value New value Date of change
Name change TIMOTHY F. NOLAN, M.D. AND PETER E. BOGDAN, M.D., P.C. GREENWICH UROLOGICAL ASSOCIATES, P.C. 1971-03-05

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010984509 2022-08-25 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0010611015 2022-05-26 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0004594268 2011-07-26 No data Annual Report Annual Report 2011
0004249521 2010-08-02 No data Annual Report Annual Report 2010
0004034806 2009-09-30 No data Annual Report Annual Report 2009
0003781933 2008-09-26 No data Annual Report Annual Report 2008
0003545119 2007-09-25 No data Annual Report Annual Report 2007
0003278732 2006-08-09 No data Annual Report Annual Report 2006
0003123944 2005-08-10 No data Annual Report Annual Report 2003
0003123945 2005-08-10 No data Annual Report Annual Report 2004

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website