| Entity Name: | ELLEN R. FISCHBEIN, M.D., P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 01 Apr 1981 |
| Date of dissolution: | 29 Apr 2020 |
| Business ALEI: | 0116298 |
| Annual report due: | 30 Apr 2021 |
| NAICS code: | 621112 - Offices of Physicians, Mental Health Specialists |
| Business address: | 355 HIGHLAND AVE SUITE 101, CHESHIRE, CT, 06410, United States |
| Mailing address: | 1001 MENDOCINO ST, WAKE FOREST, NC, United States, 27587 |
| ZIP code: | 06410 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | erfmdpc@gmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELLEN R. FISCHBEIN, M.D., P.C. 401(K) PROFIT SHARING PLAN | 2017 | 061041875 | 2018-06-12 | ELLEN R. FISCHBEIN, M.D., P.C. | 1 | |||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2018-06-11 |
| Name of individual signing | ELLEN FISCHBEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-06-11 |
| Name of individual signing | ELLEN FISCHBEIN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ELLEN R FISCHBEIN MD | Officer | 355 HIGHLAND AVE SUITE 101, CHESHIRE, CT, 6410, United States | 1001 MENDOCINO ST, WAKE FOREST, NC, 27587, United States |
| Name | Role | Business address | Mailing address | Residence address | |
|---|---|---|---|---|---|
| ELLEN R. FISCHBEIN | Agent | 355 HIGHLAND AVE SUITE 101, CHESHIRE, CT, 06410, United States | 1001 MENDOCINO ST, WAKE FOREST, CT, 27587, United States | erfmdpc@gmail.com | CONNECTICUT, 355 HIGHLAND AVE SUITE 101, CHESHIRE, CT, 06410, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006894630 | 2020-04-29 | 2020-04-29 | Dissolution | Certificate of Dissolution | No data |
| 0006869709 | 2020-04-01 | No data | Annual Report | Annual Report | 2020 |
| 0006479500 | 2019-03-20 | No data | Annual Report | Annual Report | 2019 |
| 0006429557 | 2019-03-06 | No data | Annual Report | Annual Report | 2018 |
| 0006118764 | 2018-03-12 | No data | Annual Report | Annual Report | 2017 |
| 0005818944 | 2017-04-13 | No data | Annual Report | Annual Report | 2016 |
| 0005538174 | 2016-04-12 | No data | Annual Report | Annual Report | 2015 |
| 0005082077 | 2014-04-08 | No data | Annual Report | Annual Report | 2014 |
| 0004822438 | 2013-03-15 | No data | Annual Report | Annual Report | 2013 |
| 0004562438 | 2012-03-31 | No data | Annual Report | Annual Report | 2012 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
