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MIDDLESEX EYE PHYSICIANS, P.C.

Company Details

Entity Name: MIDDLESEX EYE PHYSICIANS, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 13 Nov 1978 (Companies founded in November 1978)
Business ALEI: 0084273
Annual report due: 13 Nov 2024
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 400 SAYBROOK RD SUITE 100, MIDDLETOWN, CT, 06457, United States
Mailing address: 400 SAYBROOK ROAD SUITE 100, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457 (Companies in Middlesex, 06457)
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: accounting@middlesexeye.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2023 060990524 2024-10-02 MIDDLESEX EYE PHYSICIANS 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2022 060990524 2023-04-12 MIDDLESEX EYE PHYSICIANS 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2021 060990524 2022-05-24 MIDDLESEX EYE PHYSICIANS 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2020 060990524 2021-04-23 MIDDLESEX EYE PHYSICIANS 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2019 060990524 2020-05-12 MIDDLESEX EYE PHYSICIANS 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2018 060990524 2019-04-15 MIDDLESEX EYE PHYSICIANS 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2017 060990524 2018-04-27 MIDDLESEX EYE PHYSICIANS 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2016 060990524 2017-03-31 MIDDLESEX EYE PHYSICIANS 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2015 060990524 2016-03-21 MIDDLESEX EYE PHYSICIANS 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466
MIDDLESEX EYE PHYSICIANS, P.C. PROFIT SHARING PLAN 2014 060990524 2015-04-02 MIDDLESEX EYE PHYSICIANS 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-11-13
Business code 621111
Sponsor’s telephone number 8603477466
Plan sponsor’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 060990524
Plan administrator’s name MIDDLESEX EYE PHYSICIANS
Plan administrator’s address 400 SAYBROOK ROAD, SUITE 100, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603477466

Signature of

Role Plan administrator
Date 2015-04-02
Name of individual signing ROGER LUSKIND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
PULLMAN & COMLEY, LLC Agent

Officer

Name Role Business address Residence address
RAJI MULUKUTLA Officer 400 SAYBROOK RD SUITE 100, MIDDLETOWN, CT, 06457, United States 18 West Wynd Terrace, Middletown, CT, 06457-8730, United States
KRISTY MASCARENHAS Officer 400 SAYBROOK RD SUITE 100, MIDDLETOWN, CT, 06457, United States 38 Fairview Dr, Farmington, CT, 06032-2541, United States
TAMSCOT YAP Officer 400 SAYBROOK RD SUITE 100, MIDDLETOWN, CT, 06457, United States 432 Butternut St, Floor 1, Middletown, CT, 06457-3506, United States
PETER SHRIVER Officer 400 SAYBROOK RD SUITE 100, MIDDLETOWN, CT, 06457, United States 97 Brook Crossing, Marlborough, CT, 06447-1164, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
OSP.001638 Optical Selling Permit INACTIVE LAPSED DUE TO NON-RENEWAL 2001-10-24 2022-09-01 2023-08-31
OSP.001637 Optical Selling Permit ACTIVE CURRENT 2001-10-24 2024-09-01 2025-08-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012295015 2023-11-13 2023-11-13 Change of Email Address Business Email Address Change No data
BF-0011077066 2023-11-13 No data Annual Report Annual Report No data
BF-0010356126 2022-10-14 No data Annual Report Annual Report 2022
BF-0010971614 2022-08-16 2022-08-16 Interim Notice Interim Notice No data
BF-0009825057 2021-10-28 No data Annual Report Annual Report No data
0007000816 2020-10-14 No data Annual Report Annual Report 2020
0006672235 2019-11-05 No data Annual Report Annual Report 2019
0006269208 2018-10-31 No data Annual Report Annual Report 2018
0005963996 2017-11-10 No data Annual Report Annual Report 2017
0005963994 2017-11-10 No data Annual Report Annual Report 2016

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website