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NORWICH OPHTHALMOLOGY GROUP, P.C.

Company Details

Entity Name: NORWICH OPHTHALMOLOGY GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 30 Sep 1975 (Companies founded in September 1975)
Business ALEI: 0034170
Annual report due: 30 Sep 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 79 WAWECUS STREET SUITE 105 SUITE 105, NORWICH, CT, 06360, United States
Mailing address: 79 WAWECUS ST. SUITE 105, NORWICH, CT, United States, 06360
ZIP code: 06360 (Companies in New London, 06360)
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 5500
E-Mail: doreen@norwichlasik.com
E-Mail: millie@norwichlasik.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2023 060932141 2024-07-31 NORWICH OPHTHALMOLOGY GROUP, P.C. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing ANISH SHAH
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2022 060932141 2023-10-11 NORWICH OPHTHALMOLOGY GROUP, P.C. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing ANISH SHAH
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2021 060932141 2022-10-10 NORWICH OPHTHALMOLOGY GROUP, P.C. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2022-10-10
Name of individual signing ANISH SHAH
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2020 060932141 2021-10-14 NORWICH OPHTHALMOLOGY GROUP, P.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing ANISH SHAH
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2019 060932141 2020-10-13 NORWICH OPHTHALMOLOGY GROUP, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing ANISH SHAH
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2018 060932141 2019-04-19 NORWICH OPHTHALMOLOGY GROUP, P.C. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2019-04-16
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-16
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2017 060932141 2018-04-03 NORWICH OPHTHALMOLOGY GROUP, P.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2018-04-03
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-03
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2016 060932141 2017-05-25 NORWICH OPHTHALMOLOGY GROUP, P.C. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2017-05-24
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-24
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2015 060932141 2016-06-21 NORWICH OPHTHALMOLOGY GROUP, P.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2016-06-21
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature
NORWICH OPHTHALMOLOGY GROUP, P.C. PROFIT-SHARING PLAN & TRUST 2014 060932141 2015-07-16 NORWICH OPHTHALMOLOGY GROUP, P.C. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1976-09-30
Business code 621111
Sponsor’s telephone number 8608860161
Plan sponsor’s address 79 WAWECUS STREET, NORWICH, CT, 06360

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing JEFFREY HERTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
SUISMAN, SHAPIRO, WOOL, BRENNAN, GRAY & GREENBERG,P.C. Agent

Officer

Name Role Business address Residence address
Kinneri K. Kothari Officer 79 Wawecus St, Suite 105, Norwich, CT, 06360-2160, United States 11 Darrows Rdg, East Lyme, CT, 06333-1254, United States
ANISH SHAH Officer 79 WAWECUS STREET SUITE 105 SUITE 105, NORWICH, CT, 06360, United States 767 RIVER ROAD, MYSTIC, CT, 06355, United States
PETER MCKAY Officer 79 WAWECUS STREET SUITE 105 SUITE 105, NORWICH, CT, 06360, United States 195 ROPE FERRY RD, WATERFORD, CT, 06385, United States

History

Type Old value New value Date of change
Name change MICHAEL G BETTEN, M.D., P.C. NORWICH OPHTHALMOLOGY GROUP, P.C. 1976-09-21

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012218150 2024-10-15 No data Annual Report Annual Report No data
BF-0012522253 2024-01-08 2024-01-08 Interim Notice Interim Notice No data
BF-0011087852 2023-09-21 No data Annual Report Annual Report No data
BF-0010304661 2022-09-15 No data Annual Report Annual Report 2022
BF-0009814968 2021-09-21 No data Annual Report Annual Report No data
0006975807 2020-09-09 No data Annual Report Annual Report 2020
0006614922 2019-08-06 No data Annual Report Annual Report 2019
0006236219 2018-08-22 No data Annual Report Annual Report 2018
0005941754 2017-10-05 No data Annual Report Annual Report 2017
0005941752 2017-10-05 No data Annual Report Annual Report 2016

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website