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  5. FAMILY HEALTH CARE ASSOCIATES, P.C.

FAMILY HEALTH CARE ASSOCIATES, P.C.

Company Details

Entity Name: FAMILY HEALTH CARE ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 07 Apr 1981
Date of dissolution: 31 Dec 2015
Business ALEI: 0116555
Annual report due: 28 Apr 2014
Business address: 330 BRIDGEPORT AVE 22 CLOVERVALE LANE 22 CLOVERVALE LANE, SHELTON, CT, 06484
Mailing address: 330 BRIDGEPORT AVE, SHELTON, CT, 06484
ZIP code: 06484
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 10000
E-Mail: family.health@sbcglobal.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2015 061052457 2016-06-08 FAMILY HEALTH CARE ASSOCIATES, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2014 061052457 2015-09-16 FAMILY HEALTH CARE ASSOCIATES, P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2015-09-16
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-16
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2013 061052457 2014-07-24 FAMILY HEALTH CARE ASSOCIATES, P.C. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2012 061052457 2013-07-25 FAMILY HEALTH CARE ASSOCIATES, P.C. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing F. PETER SWANSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing F. PETER SWANSON, MD
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2011 061052457 2012-10-10 FAMILY HEALTH CARE ASSOCIATES, P.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 061052457
Plan administrator’s name FAMILY HEALTH CARE ASSOCIATES, P.C.
Plan administrator’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484
Administrator’s telephone number 2039297331

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing F PETER SWANSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing F PETER SWANSON
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2010 061052457 2011-10-25 FAMILY HEALTH CARE ASSOCIATES, P.C. 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 061052457
Plan administrator’s name FAMILY HEALTH CARE ASSOCIATES, P.C.
Plan administrator’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484
Administrator’s telephone number 2039297331

Signature of
Role Plan administrator
Date 2011-10-25
Name of individual signing F. PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY HEALTH CARE ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2009 061052457 2010-10-07 FAMILY HEALTH CARE ASSOCIATES, P.C. 31
Three-digit plan number (PN) 002
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 2039297331
Plan sponsor’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484

Plan administrator’s name and address
Administrator’s EIN 061052457
Plan administrator’s name FAMILY HEALTH CARE ASSOCIATES, P.C.
Plan administrator’s address 330 BRIDGEPORT AVE, SHELTON, CT, 06484
Administrator’s telephone number 2039297331

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing F.PETER SWANSON, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
F PETER SWANSON Agent 330 BRIDGEPORT AVE, SHELTON, CT, 06484, United States family.health@sbcglobal.net 666 CHESTNUT RIDGE ROAD, ORANGE, CT, 06477, United States

Officer

Name Role Business address Residence address
SAMUEL STREIT D.O. Officer 330 BRIDGEPORT AVENUE, SHELTON, CT, 06484, United States 67 REES DRIVE, OXFORD, CT, 06478, United States
ELLIOT K. MATHIAS M.D. Officer 330 BRIDGEPORT AVENUE, SHELTON, CT, 06484, United States 17 MITCHELL LANE, WOODBRIDGE, CT, 06525, United States
KENNETH A. WARD M.D. Officer 330 BRIDGEPORT AVENUE, SHELTON, CT, 06484, United States 19 SHEPARD RD, WOODBRIDGE, CT, 06525, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005456224 2015-12-31 2015-12-31 Dissolution Certificate of Dissolution No data
0004902803 2013-07-23 No data Annual Report Annual Report 2006
0004902810 2013-07-23 No data Annual Report Annual Report 2008
0004902944 2013-07-23 No data Annual Report Annual Report 2011
0004902949 2013-07-23 No data Annual Report Annual Report 2013
0004902807 2013-07-23 No data Annual Report Annual Report 2007
0004902946 2013-07-23 No data Annual Report Annual Report 2012
0004902815 2013-07-23 No data Annual Report Annual Report 2009
0004902800 2013-07-23 No data Annual Report Annual Report 2005
0004902828 2013-07-23 No data Annual Report Annual Report 2010

Related by officers

No related officers

Related by address

330 BRIDGEPORT AVE, SHELTON, CT, 06484

JUDD M. JENSEN, M.D., P.C. THOMAS L. ASHLEY, M.D., P.C. MICHAEL RYSKIN, MD, L.L.C.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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