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MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.

Company Details

Entity Name: MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 06 Jul 1981
Date of dissolution: 31 Dec 2019
Business ALEI: 0120113
Annual report due: 04 Jul 2019
Business address: 420 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
Mailing address: 420 SAYBROOK ROAD 420 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: sprimmer@middlesexcardiology.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 061044837 2019-10-30 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 57
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-10-30
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2018 061044837 2019-08-29 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 63
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 061044837 2018-07-16 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 62
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2017 061044837 2019-08-29 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 62
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 061044837 2019-08-29 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 68
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2016 061044837 2017-06-15 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 68
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2017-06-15
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-15
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST 2015 061044837 2019-08-29 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 62
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750142
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-29
Name of individual signing ERAN SHANI
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2014 061044837 2015-09-22 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 67
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750151
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2015-09-22
Name of individual signing DAVID GALLO
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 061044837 2016-06-15 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 68
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750151
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2016-06-15
Name of individual signing DAVID GALLO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-15
Name of individual signing DAVID GALLO
Valid signature Filed with authorized/valid electronic signature
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST 2013 061044837 2014-09-26 MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 68
Three-digit plan number (PN) 003
Effective date of plan 2002-12-06
Business code 621111
Sponsor’s telephone number 8609750151
Plan sponsor’s address 420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2014-09-26
Name of individual signing SPRIMMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-26
Name of individual signing SPRIMMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
PETER DAVID HERSHMAN ESQ. Agent HERSHMAN LEGAL GROUP, P.C., ONE CHURCH ST., NEW HAVEN, CT, 06510, United States 121 LIMEWOOD AVENUE, BRANFORD, CT, 06405, United States

Officer

Name Role Business address Residence address
MANJU JOHN Officer 80 SILO HILL, MADISON, CT, 06443, United States 15 WELLES LANE, SOUTH WINDSOR, CT, 06074, United States
STEPHEN M. FRANKLIN M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 73 CRYSTAL RIDGE DRIVE, SOUTH GLASTONBURY, CT, 06073, United States
ERAN SHANI M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 55 BAINTON ROAD, WEST HARTFORD, CT, 06117, United States
JOSEPH P. LONGHITANO M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 294 MAPLE SHADE ROAD, MIDDLETOWN, CT, 06457, United States
KESHAVA H. AITHAL M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 64 RIBERA LANE, MIDDLETOWN, CT, 06457, United States
SUBRAMANIAN KRISHNAN M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 4 NEWBURY ROAD, CROMWELL, CT, 06416, United States
MOJCA LORBAR M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 510 CEDAR RIDGE DRIVE, GLASTONBURY, CT, 06033, United States
DAVID S. GALLO M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 102 FALLVIEW ROAD, GLASTONBURY, CT, 06033, United States
JOSEPH J. CORNING M.D. Officer MIDDLETOWN PROFESSIONAL PARK, 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States 50 BLUEBERRY HILL ROAD, WETHERSFIELD, CT, 06109, United States

History

Type Old value New value Date of change
Name change TIMOTHY F. BREWER, M.D., P.C. MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 1983-08-16

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006705337 2019-12-30 2019-12-31 Dissolution Certificate of Dissolution No data
0006201014 2018-06-15 No data Annual Report Annual Report 2018
0006200970 2018-06-15 No data Annual Report Annual Report 2017
0005647054 2016-09-08 No data Annual Report Annual Report 2016
0005393315 2015-09-09 No data Annual Report Annual Report 2014
0005393321 2015-09-09 No data Annual Report Annual Report 2015
0004889285 2013-07-03 2013-07-03 Change of Agent Agent Change No data
0004876282 2013-06-12 No data Annual Report Annual Report 2013
0004837727 2013-04-09 No data Annual Report Annual Report 2012
0004436085 2011-08-30 No data Annual Report Annual Report 2003

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website