| Entity Name: | CONNECTICUT FAMILY ORTHOPEDICS, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 12 Jul 1978 |
| Date of dissolution: | 20 Mar 2021 |
| Business ALEI: | 0077502 |
| Annual report due: | 03 Jul 2017 |
| Business address: | 33 HOSPITAL AVE, DANBURY, CT, 06810 |
| ZIP code: | 06810 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | d.amundsen@cfortho.org |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONNECTICUT FAMILY ORTHOPEDICS 401(K) PROFIT SHARING PLAN & TRUST | 2019 | 060984073 | 2020-08-12 | CONNECTICUT FAMILY ORTHOPEDICS | 76 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 471637791 |
| Plan administrator’s name | ERISA FIDUCIARY SERVICES |
| Plan administrator’s address | 1800 WALT WHITMAN ROAD, SUITE 110, MELVILLE, NY, 11747 |
| Administrator’s telephone number | 6312490500 |
Signature of
| Role | Plan administrator |
| Date | 2020-08-12 |
| Name of individual signing | ERISA FIDUCIARY SERVICES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1979-06-30 |
| Business code | 621111 |
| Sponsor’s telephone number | 2037925558 |
| Plan sponsor’s mailing address | 33 HOSPITAL AVENUE, DANBURY, CT, 068106037 |
| Plan sponsor’s address | 33 HOSPITAL AVENUE, DANBURY, CT, 068106037 |
Plan administrator’s name and address
| Administrator’s EIN | 060984073 |
| Plan administrator’s name | CONNECTICUT FAMILY ORTHOPEDICS, P.C. |
| Plan administrator’s address | 33 HOSPITAL AVENUE, DANBURY, CT, 068106037 |
| Administrator’s telephone number | 2037925558 |
Number of participants as of the end of the plan year
| Active participants | 41 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 14 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 55 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 9 |
Signature of
| Role | Plan administrator |
| Date | 2010-04-19 |
| Name of individual signing | GABE CARUBIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| MONTE E. FRANK | Agent | 158 DEER HILL AVE., DANBURY, CT, 06810, United States | d.amundsen@cfortho.org | 10 MOUNTAIN MANOR RD., SANDY HOOK, CT, 06482, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| F. SCOTT GRAY | Officer | 33 HOSPITAL AVE, DANBURY, CT, 06810, United States | 25 OLMSTEAD RD, RIDGEFIELD, CT, 06877, United States |
| MATTHEW R. ROGELL | Officer | 33 HOSPITAL AVENUE, DANBURY, CT, 06810, United States | 7 SHAWE STREET, DANBURY, CT, 06810, United States |
| JAMES W. DEPUY | Officer | 33 HOSPITAL AVE., DANBURY, CT, 06810, United States | 809 N. SALEM RD., RIDGEFIELD, CT, 06877, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | RIPPS, SKOLNICK & SCHWEITZER, M.D.'S, P.C. | CONNECTICUT FAMILY ORTHOPEDICS, P.C. | 1987-04-06 |
| Name change | RIPPS - SKOLNICK, M.D.'S, P.C. | RIPPS, SKOLNICK & SCHWEITZER, M.D.'S, P.C. | 1982-02-22 |
| Name change | RONALD A. RIPPS, M.D., P.C. | RIPPS - SKOLNICK, M.D.'S, P.C. | 1979-10-04 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0007247038 | 2021-03-20 | 2021-03-20 | Dissolution | Certificate of Dissolution | No data |
| 0005640212 | 2016-08-31 | No data | Annual Report | Annual Report | 2016 |
| 0005462059 | 2016-01-11 | No data | Annual Report | Annual Report | 2015 |
| 0005230774 | 2014-12-04 | No data | Annual Report | Annual Report | 2013 |
| 0005230775 | 2014-12-04 | No data | Annual Report | Annual Report | 2014 |
| 0004681243 | 2012-07-06 | No data | Annual Report | Annual Report | 2012 |
| 0004419971 | 2011-07-28 | No data | Annual Report | Annual Report | 2011 |
| 0004357963 | 2011-04-14 | 2011-04-14 | Change of Agent | Agent Change | No data |
| 0004202148 | 2010-07-23 | No data | Annual Report | Annual Report | 2010 |
| 0004027524 | 2009-09-16 | No data | Annual Report | Annual Report | 2009 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
