| Entity Name: | WINDHAM MEDICAL GROUP, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 05 May 1977 |
| Date of dissolution: | 19 Jul 2012 |
| Business ALEI: | 0025300 |
| Annual report due: | 30 May 2011 |
| Business address: | 37 IVANHILL STREET, WILLIMANTIC, CT, 06226 |
| Mailing address: | 37 IVANHILL STREET, WILLIMANTC, CT, 06226 |
| ZIP code: | 06226 |
| County: | Windham |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 500 |
| E-Mail: | sleach@wcmh.org |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WINDHAM MEDICAL GROUP, P.C. SIMPLE 401(K) PLAN | 2010 | 060956120 | 2011-10-13 | WINDHAM MEDICAL GROUP, P.C. | 14 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 060956120 |
| Plan administrator’s name | WINDHAM MEDICAL GROUP, P.C. |
| Plan administrator’s address | 37 IVAN HILL STREET, WILLIMANTIC, CT, 06226 |
| Administrator’s telephone number | 8604235808 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | MICHAEL KILGANNON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-13 |
| Name of individual signing | MICHAEL KILGANNON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2007-04-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8604235808 |
| Plan sponsor’s address | 37 IVAN HILL STREET, WILLIMANTIC, CT, 06226 |
Plan administrator’s name and address
| Administrator’s EIN | 060956120 |
| Plan administrator’s name | WINDHAM MEDICAL GROUP, P.C. |
| Plan administrator’s address | 37 IVAN HILL STREET, WILLIMANTIC, CT, 06226 |
| Administrator’s telephone number | 8604235808 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | MICHAEL KILGANNON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-15 |
| Name of individual signing | MICHAEL KILGANNON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL KILGANNON | Agent | 37 IVANHILL ST., WILLIMANTIC, CT, 06226, United States | 60 FIELDSTONE DRIVE, STORRS, CT, 06268, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MICHAEL A KILGANNON MD | Officer | 37 IVANHILL ST, WILLIMANTIC, CT, 06226, United States | 60 FIELDSTONE DRIVE, STORRS, CT, 06268, United States |
| STEPHEN J LEACH MD | Officer | 37 IVANHILL ST, WILLIMANTIC, CT, 06226, United States | 545 WORMWOOD HILL ROAD, MANSFIELD CENTER, CT, 06250, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | JOHN R. HAYES, M.D., P.C. | WINDHAM MEDICAL GROUP, P.C. | 1978-04-18 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004689183 | 2012-07-19 | 2012-07-19 | Dissolution | Certificate of Dissolution | No data |
| 0004199786 | 2010-05-17 | No data | Annual Report | Annual Report | 2010 |
| 0003978775 | 2009-06-22 | No data | Annual Report | Annual Report | 2009 |
| 0003704403 | 2008-05-01 | No data | Annual Report | Annual Report | 2008 |
| 0003466284 | 2007-05-21 | No data | Annual Report | Annual Report | 2007 |
| 0003241641 | 2006-05-25 | No data | Annual Report | Annual Report | 2006 |
| 0002933634 | 2005-06-07 | No data | Annual Report | Annual Report | 2005 |
| 0002839042 | 2004-06-07 | 2004-06-07 | Annual Report | Annual Report | 2004 |
| 0002651418 | 2003-05-27 | 2003-05-27 | Annual Report | Annual Report | 2003 |
| 0002534700 | 2003-02-14 | 2003-02-14 | Change of Agent | Agent Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
