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DR. JAY S. MANDELL, P.C.

Company Details

Entity Name: DR. JAY S. MANDELL, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 30 Jul 1981 (Companies founded in July 1981)
Date of dissolution: 27 Oct 2016
Business ALEI: 0120971
Annual report due: 27 Jul 2016
Business address: JAY S. MANDELL, D.M.D. 55 TOWN LINE RD STE 100, WETHERSFIELD, CT, 06109
ZIP code: 06109 (Companies in Hartford, 06109)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: ROCKYHILLDENTAL@SBCGLOBAL.NET

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 061046608 2017-07-20 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 5 SOL'S POINT ROAD, CLINTON, CT, 06413

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 061046608 2016-06-30 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 061046608 2015-07-20 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Signature of
Role Plan administrator
Date 2015-07-03
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 061046608 2014-07-02 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 061046608 2013-07-22 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Signature of
Role Plan administrator
Date 2013-07-21
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 061046608 2012-07-03 ROCKY HILL DENTAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Plan administrator’s name and address
Administrator’s EIN 061046608
Plan administrator’s name ROCKY HILL DENTAL ASSOCIATES, P.C.
Plan administrator’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109
Administrator’s telephone number 8605636500

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2010 061046608 2011-06-28 ROCKY HILL DENTAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Plan administrator’s name and address
Administrator’s EIN 061046608
Plan administrator’s name ROCKY HILL DENTAL ASSOCIATES, P.C.
Plan administrator’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109
Administrator’s telephone number 8605636500

Signature of
Role Plan administrator
Date 2011-06-27
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature
ROCKY HILL DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2009 061046608 2010-06-28 ROCKY HILL DENTAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 8605636500
Plan sponsor’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109

Plan administrator’s name and address
Administrator’s EIN 061046608
Plan administrator’s name ROCKY HILL DENTAL ASSOCIATES, P.C.
Plan administrator’s address 55 TOWN LINE ROAD, SUITE 100, WETHERSFIELD, CT, 06109
Administrator’s telephone number 8605636500

Signature of
Role Plan administrator
Date 2010-06-26
Name of individual signing JAY MANDELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JOEL MANDELL Agent TARLOW LEVY MANDELL, FIVE FARMS SPRINGS, FARMINGTON, CT, 06034, United States 7 HARRIET LANE, SIMSBURY, CT, 06089, United States

Officer

Name Role Business address Residence address
JAY S. MANDELL Officer ROCKY HILL DENTAL ASSOC. P.C., 55 TOWN LINE RD., SUITE 100, WETHERSFIELD, CT, 06109, United States 100 STEELE RD., WEST HARTFORD, CT, 06119, United States
GERALDINE MANDELL Officer ROCKY HILL DENTAL ASSOC. P.C., 55 TOWN LINE RD., SUITE 100, WETHERSFIELD, CT, 06109, United States 100 STEELE RD., WEST HARTFORD, CT, 06119, United States

History

Type Old value New value Date of change
Name change ROCKY HILL DENTAL ASSOCIATES, P.C. DR. JAY S. MANDELL, P.C. 2015-10-23

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005681827 2016-10-27 2016-10-27 Dissolution Certificate of Dissolution No data
0005419820 2015-10-23 2015-10-23 Amendment Amend Name No data
0005401127 2015-09-25 No data Annual Report Annual Report 2012
0005401129 2015-09-25 No data Annual Report Annual Report 2013
0005401131 2015-09-25 No data Annual Report Annual Report 2015
0005401130 2015-09-25 No data Annual Report Annual Report 2014
0004396458 2011-06-15 No data Annual Report Annual Report 2011
0004230128 2010-07-01 No data Annual Report Annual Report 2010
0003986826 2009-07-07 No data Annual Report Annual Report 2009
0003746377 2008-07-24 No data Annual Report Annual Report 2008

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Related by address

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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