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  5. WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C.

WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C.

Company Details

Entity Name: WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 01 Apr 1968
Date of dissolution: 30 Dec 2020
Business ALEI: 0054746
Annual report due: 29 Apr 2021
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 896 MIDDLEBURY ROAD SUITE 100, MIDDLEBURY, CT, 06762, United States
Mailing address: 12700 PARK CENTRAL DR. STE 900 C/O R1RCM, INC, DALLAS, TX, United States, 75251
ZIP code: 06762
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: earl_bueno@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C RETIREMENT SAVINGS PLAN 2021 060845891 2022-07-22 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5862643500
Plan sponsor’s address 896 MIDDLEBURY ROAD SUITE 100, MIDDLEBURY, CT, 06762

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing RAYMOND CLEMENT
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C RETIREMENT SAVINGS PLAN 2020 060845891 2021-10-01 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 5862643500
Plan sponsor’s address 896 MIDDLEBURY ROAD SUITE 100, MIDDLEBURY, CT, 06762

Signature of
Role Plan administrator
Date 2021-10-01
Name of individual signing RAYMOND CLEMENT
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. RETIREMENT SAVINGS PLAN 2013 060845891 2014-06-30 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037577000
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708

Signature of
Role Plan administrator
Date 2014-06-28
Name of individual signing SALVATORE FERRANTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-28
Name of individual signing SALVATORE FERRANTE
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. RETIREMENT SAVINGS PLAN 2012 060845891 2013-07-16 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037577000
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing SALVATORE J FERRANTE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing SALVATORE J FERRANTE MD
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. RETIREMENT SAVINGS PLAN 2011 060845891 2012-07-18 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037577000
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708

Plan administrator’s name and address
Administrator’s EIN 060845891
Plan administrator’s name WATERBURY ANESTHESIOLOGY ASSOCIATES, INC.
Plan administrator’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708
Administrator’s telephone number 2037577000

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing SALVATOREE FERRANTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing SALVATOREE FERRANTE
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. RETIREMENT SAVINGS PLAN 2010 060845891 2011-07-22 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037577000
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708

Plan administrator’s name and address
Administrator’s EIN 060845891
Plan administrator’s name WATERBURY ANESTHESIOLOGY ASSOCIATES, INC.
Plan administrator’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708
Administrator’s telephone number 2037577000

Signature of
Role Plan administrator
Date 2011-07-22
Name of individual signing SALVATORE FERRANTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-22
Name of individual signing SALVATORE FERRANTE
Valid signature Filed with authorized/valid electronic signature
WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. RETIREMENT SAVINGS PLAN 2009 060845891 2010-07-15 WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2037577000
Plan sponsor’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708

Plan administrator’s name and address
Administrator’s EIN 060845891
Plan administrator’s name WATERBURY ANESTHESIOLOGY ASSOCIATES, INC.
Plan administrator’s address 140 GRANDVIEW AVENUE, SUITE 103, WATERBURY, CT, 06708
Administrator’s telephone number 2037577000

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing SALVATORE J FERRANTE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing SALVATORE J FERRANTE MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
EARL BUENO M.D. Agent 896 MIDDLEBURY ROAD, SUITE 100, WATERBURY ANESTHESIOLOGY ASSOCIATES P.C., MIDDLEBURY, CT, 06762, United States 896 MIDDLEBURY ROAD, SUITE 100, WATERBURY ANESTHESIOLOGY ASSOCIATES P.C., MIDDLEBURY, CT, 06762, United States earl_bueno@hotmail.com WATERBURY ANESTHESIOLOGY ASSOCIATES P.C., 896 MIDDLEBURY ROAD, SUITE 100, MIDDLEBURY, CT, 06762, United States

Officer

Name Role Business address Residence address
MARK SCHIFFMILLER M.D. Officer 896 MIDDLEBURY RD, WATERBURY ANESTHESIOLOGY ASSOCIATES, PC, SUITE 100, MIDDLEBURY, CT, 06762, United States 37 CREST ST, WATERBURY, CT, 06708, United States
EARL A. BUENO M.D. Officer 896 MIDDLEBURY ROAD, SUITE 100, WATERBURY ANESTHESIOLOGY ASSOCIATES, PC, MIDDLEBURY, CT, 06762, United States 896 MIDDLEBURY ROAD, SUITE 100, WATERBURY ANESTHESIOLOGY ASSOCIATES, PC, MIDDLEBURY, CT, 06762, United States
STEVEN LEE D.O. Officer 896 MIDDLEBURY ROAD, SUITE 100, WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C, MIDDLEBURY, CT, 06762, United States 66 PATRIOT ROAD, SOUTHBURY, CT, 06488, United States

History

Type Old value New value Date of change
Name change WATERBURY ANESTHESIOLOGY ASSOCIATES, INC. WATERBURY ANESTHESIOLOGY ASSOCIATES, P.C. 1999-09-23

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007047003 2020-12-30 2020-12-30 Dissolution Certificate of Dissolution No data
0006822618 2020-03-09 No data Annual Report Annual Report 2020
0006484184 2019-03-21 2019-03-21 Change of Agent Agent Change No data
0006484031 2019-03-21 No data Annual Report Annual Report 2019
0006168731 2018-04-24 No data Annual Report Annual Report 2018
0005818089 2017-04-13 No data Annual Report Annual Report 2017
0005515528 2016-03-17 No data Annual Report Annual Report 2016
0005443786 2015-12-09 No data Change of Agent Address Agent Address Change No data
0005443791 2015-12-09 No data Change of Business Address Business Address Change No data
0005314385 2015-04-13 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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