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  5. ASSOCIATED NORTHWEST UROLOGY, P.C.

ASSOCIATED NORTHWEST UROLOGY, P.C.

Company Details

Entity Name: ASSOCIATED NORTHWEST UROLOGY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report past due
Date Formed: 02 Sep 1980
Business ALEI: 0109070
Annual report due: 28 Sep 2021
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 17 HOSPITAL HILL RD P.O. BOX 1736, SHARON, CT, 06069, United States
Mailing address: P.O. BOX 1736 17 HOSPITAL HILL RD, SHARON, CT, United States, 06069
ZIP code: 06069
County: Litchfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: JPIRC@ROSANNABELLCPA.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2017 061025643 2019-06-17 ASSOCIATED NORTHWEST UROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2016 061025643 2018-06-14 ASSOCIATED NORTHWEST UROLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2015 061025643 2017-06-12 ASSOCIATED NORTHWEST UROLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2017-06-12
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2014 061025643 2016-06-15 ASSOCIATED NORTHWEST UROLOGY, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2013 061025643 2015-06-15 ASSOCIATED NORTHWEST UROLOGY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2012 061025643 2014-06-04 ASSOCIATED NORTHWEST UROLOGY, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2011 061025643 2013-06-11 ASSOCIATED NORTHWEST UROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Plan administrator’s name and address
Administrator’s EIN 061025643
Plan administrator’s name ASSOCIATED NORTHWEST UROLOGY, P.C.
Plan administrator’s address P.O. BOX 1736, SHARON, CT, 060691736
Administrator’s telephone number 8603640225

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2010 061025643 2012-06-07 ASSOCIATED NORTHWEST UROLOGY, P.C. 14
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Plan administrator’s name and address
Administrator’s EIN 061025643
Plan administrator’s name ASSOCIATED NORTHWEST UROLOGY, P.C.
Plan administrator’s address P.O. BOX 1736, SHARON, CT, 060691736
Administrator’s telephone number 8603640225

Signature of
Role Plan administrator
Date 2012-06-06
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2009 061025643 2011-06-15 ASSOCIATED NORTHWEST UROLOGY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Plan administrator’s name and address
Administrator’s EIN 061025643
Plan administrator’s name ASSOCIATED NORTHWEST UROLOGY, P.C.
Plan administrator’s address P.O. BOX 1736, SHARON, CT, 060691736
Administrator’s telephone number 8603640225

Signature of
Role Plan administrator
Date 2011-06-15
Name of individual signing STEPHEN YU
Valid signature Filed with authorized/valid electronic signature
ASSOCIATED NORTHWEST UROLOGY, P.C. 401K PROFIT SHARING PLAN 2009 061025643 2010-07-28 ASSOCIATED NORTHWEST UROLOGY, P.C. 11
Three-digit plan number (PN) 001
Effective date of plan 1996-09-01
Business code 621111
Sponsor’s telephone number 8603640225
Plan sponsor’s DBA name STEPHEN YU, M.D.
Plan sponsor’s address P.O. BOX 1736, SHARON, CT, 060691736

Plan administrator’s name and address
Administrator’s EIN 061025643
Plan administrator’s name ASSOCIATED NORTHWEST UROLOGY, P.C.
Plan administrator’s address P.O. BOX 1736, SHARON, CT, 060691736
Administrator’s telephone number 8603640225

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing STEPHEN YU
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Business address E-Mail Residence address
PETER C SCHWARTZ Agent GORDON, MUIR & FOLEY, 39 LAFAYETTE ST, HARTFORD, CT, 06106, United States jkroth1@optonline.net 145 NATCHAUG DR, GLASTONBURY, CT, 06033, United States

Officer

Name Role Business address Residence address
JEROME K ROTH Officer 17 HOSPITAL HILL RD, PO BOX 1736, SHARON, CT, United States 115 SHARON GOSHEN RD, WEST CORNWALL, CT, United States

History

Type Old value New value Date of change
Name change PHILIP B. JENSEN, M.D., F.A.C.S., P.C. ASSOCIATED NORTHWEST UROLOGY, P.C. 1984-06-04

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010121705 2021-09-07 2021-09-07 Dissolution Certificate of Dissolution No data
0007282304 2021-04-05 No data Annual Report Annual Report 2020
0006615457 2019-08-06 No data Annual Report Annual Report 2019
0006230843 2018-08-10 No data Annual Report Annual Report 2018
0005941102 2017-10-04 No data Annual Report Annual Report 2017
0005702748 2016-11-28 No data Annual Report Annual Report 2015
0005702750 2016-11-28 No data Annual Report Annual Report 2016
0005393520 2015-09-09 No data Annual Report Annual Report 2014
0004931679 2013-08-26 No data Annual Report Annual Report 2013
0004931675 2013-08-26 No data Annual Report Annual Report 2012

Related by officers

PETER C SCHWARTZ

PETER T. KRENICKY, M.D., P.C. BOLTON DENTAL LABS, INC. THEODORE W. MARON, M.D., P.C. LOVELL ORTHODONTICS, P.C.

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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