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  5. MILFORD PEDIATRIC GROUP, P.C. THE

MILFORD PEDIATRIC GROUP, P.C. THE

Company Details

Entity Name: MILFORD PEDIATRIC GROUP, P.C. THE
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 22 Aug 1969
Business ALEI: 0031356
Annual report due: 22 Aug 2024
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 50 Commerce Park, MILFORD, CT, 06460, United States
Mailing address: 50 Commerce Park, Suite B, MILFORD, CT, United States, 06460
ZIP code: 06460
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: kfbainer@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2023 060856886 2024-10-08 MILFORD PEDIATRIC GROUP, P.C. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-08
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 060856886 2023-10-10 MILFORD PEDIATRIC GROUP, P.C. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2021 060856886 2022-10-17 MILFORD PEDIATRIC GROUP, P.C. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2020 060856886 2021-10-15 MILFORD PEDIATRIC GROUP, P.C. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 060856886 2020-10-15 MILFORD PEDIATRIC GROUP, P.C. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 060856886 2019-10-15 MILFORD PEDIATRIC GROUP, P.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 060856886 2018-04-23 MILFORD PEDIATRIC GROUP, P.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2018-04-23
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 060856886 2017-05-22 MILFORD PEDIATRIC GROUP, P.C. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 060856886 2016-03-21 MILFORD PEDIATRIC GROUP, P.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2016-03-21
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-21
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
MILFORD PEDIATRIC GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 060856886 2016-03-10 MILFORD PEDIATRIC GROUP, P.C. 73
Three-digit plan number (PN) 001
Effective date of plan 1969-09-01
Business code 621111
Sponsor’s telephone number 2038822066
Plan sponsor’s address 321 BOSTON POST ROAD, MILFORD, CT, 06460

Signature of
Role Plan administrator
Date 2016-03-10
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-10
Name of individual signing JEFFREY GRUSKAY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JOSHUA ALAN WINNICK Agent 215 Santa Fe Ave, Hamden, CT, 06517-1531, United States 215 Santa Fe Ave, Hamden, CT, 06517-1531, United States +1 203-562-9677 jwinnick@wwlawllc.com 215 Santa Fe Ave, Hamden, CT, 06517-1531, United States

Officer

Name Role Business address Residence address
ROBERTA LOCKHART M.D. Officer 50 Commerce Park, Suite B, MILFORD, CT, 06460, United States 24 INDIGO TRAIL, MADISON, CT, 06443, United States
JEFFREY GRUSKAY M.D. Officer 50 Commerce Park, Suite B, MILFORD, CT, 06460, United States 43 FLYING POINT ROAD, BRANFORD, CT, 06405, United States
HOWARD SADINSKY Officer 50 Commerce Park, Suite B, MILFORD, CT, 06460, United States 12 PINE RIDGE ROAD, WOODBRIDGE, CT, 06525, United States
HARRY KIPPERMAN Officer 50 Commerce Park, Suite B, MILFORD, CT, 06460, United States 11 SHADY HILL ROAD, WOODBRIDGE, CT, 06525, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CLAB.0001075 Clinical Laboratory ACTIVE CURRENT 2022-06-04 2024-07-01 2026-06-30
CLAB.0000796 Clinical Laboratory CLOSED CLOSED 2003-04-16 2021-07-01 2023-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011087840 2023-07-24 No data Annual Report Annual Report No data
BF-0010233069 2022-08-01 No data Annual Report Annual Report 2022
BF-0009807505 2021-10-06 No data Annual Report Annual Report No data
0006959585 2020-08-10 No data Annual Report Annual Report 2020
0006959578 2020-08-10 No data Annual Report Annual Report 2019
0006312885 2019-01-08 No data Annual Report Annual Report 2018
0006218566 2018-07-18 No data Annual Report Annual Report 2017
0005628934 2016-08-11 No data Annual Report Annual Report 2016
0005438854 2015-12-01 No data Annual Report Annual Report 2013
0005438867 2015-12-01 No data Annual Report Annual Report 2015

Related by officers

JEFFREY GRUSKAY M.D.

JORDAN GRUSKAY FAMILY LLC LINDSAY GRUSKAY FAMILY LLC

HOWARD SADINSKY

ST. VINCENT'S HEALTH PARTNERS, INC.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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