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  5. NEW CANAAN MEDICAL GROUP, P.C.

NEW CANAAN MEDICAL GROUP, P.C.

Company Details

Entity Name: NEW CANAAN MEDICAL GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Admin Dissolution Initiated
Date Formed: 15 Sep 1967
Business ALEI: 0054741
Annual report due: 15 Sep 2023
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States
Mailing address: 173 EAST AVENUE, NEW CANAAN, CT, United States, 06840
ZIP code: 06840
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: tslim1294@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2023 060841383 2024-09-27 NEW CANAAN MEDICAL GROUP, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2022 060841383 2023-07-20 NEW CANAAN MEDICAL GROUP, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2021 060841383 2022-10-14 NEW CANAAN MEDICAL GROUP, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2020 060841383 2021-08-17 NEW CANAAN MEDICAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2021-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2019 060841383 2020-08-20 NEW CANAAN MEDICAL GROUP, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-20
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2018 060841383 2019-10-01 NEW CANAAN MEDICAL GROUP, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2017 060841383 2018-09-21 NEW CANAAN MEDICAL GROUP, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2018-09-21
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-21
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2016 060841383 2017-08-17 NEW CANAAN MEDICAL GROUP, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2017-08-17
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-17
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2015 060841383 2016-09-13 NEW CANAAN MEDICAL GROUP, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-13
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
NEW CANAAN MEDICAL GROUP, P.C. PROFIT SHARING PLAN 2014 060841383 2015-10-13 NEW CANAAN MEDICAL GROUP, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1967-12-31
Business code 621111
Sponsor’s telephone number 2039663776
Plan sponsor’s address 173 EAST AVENUE, NEW CANAAN, CT, 06840

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing JAMES SLATER, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing JAMES SLATER, TRUSTEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PETER M. SHUTKIN M.D. Agent 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States +1 203-972-4236 tslim1294@gmail.com 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States

Officer

Name Role Business address Residence address
JAMES A. SLATER M.D. Officer 173 EAST AVENUE, NEW CANAAN, CT, 06840, United States 224 NO. WILTON ROAD, NEW CANAAN, CT, 06840, United States

History

Type Old value New value Date of change
Name change NEW CANAAN MEDICAL GROUP, INC. NEW CANAAN MEDICAL GROUP, P.C. 2000-01-10

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012778363 2024-09-30 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0010230949 2022-10-27 No data Annual Report Annual Report 2022
BF-0009814205 2021-09-14 No data Annual Report Annual Report No data
0006991182 2020-09-24 No data Annual Report Annual Report 2020
0006644702 2019-09-16 No data Annual Report Annual Report 2019
0006229655 2018-08-09 No data Annual Report Annual Report 2018
0006188899 2018-05-23 No data Annual Report Annual Report 2017
0005645175 2016-09-07 No data Annual Report Annual Report 2016
0005409021 2015-10-07 No data Annual Report Annual Report 2014
0005409022 2015-10-07 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

173 EAST AVENUE, NEW CANAAN, CT, 06840, United States

NEW CANAAN MEDICAL PROPERTIES, LLP 106 MANAGEMENT ASSOCIATES, LLC NEW CANAAN MEDICAL PRACTICE, P.C. NEW CANAAN PRIVATE MEDICINE, P.C. INTERNAL MEDICINE OF NEW CANAAN, P.C.

173 EAST AVENUE, NEW CANAAN, CT, United States, 06840

NEW CANAAN MEDICAL PROPERTIES, LLP NEW CANAAN MEDICAL PRACTICE, P.C. NEW CANAAN PRIVATE MEDICINE, P.C. INTERNAL MEDICINE OF NEW CANAAN, P.C.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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