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PETER B. NELSON, D.D.S., P.C.

Company Details

Entity Name: PETER B. NELSON, D.D.S., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 02 Nov 1981
Date of dissolution: 03 Jan 2020
Business ALEI: 0124065
Annual report due: 30 Nov 2019
Business address: 717 NEWFIELD STREET, MIDDLETOWN, CT, 06457, United States
Mailing address: 717 NEWFIELD STREET, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: peter@drpeternelson.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2019 061050087 2020-01-13 PETER B. NELSON, D.D.S., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2020-01-13
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2018 061050087 2019-03-26 PETER B. NELSON, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2019-03-26
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2017 061050087 2018-02-21 PETER B. NELSON, D.D.S., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2018-02-21
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2017 061050087 2018-02-16 PETER B. NELSON, D.D.S., P.C. 8
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2018-02-16
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2016 061050087 2017-03-10 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2017-03-10
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2015 061050087 2016-03-11 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2016-03-11
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2014 061050087 2015-02-18 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2015-02-18
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2013 061050087 2014-04-11 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2014-04-11
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2012 061050087 2013-03-15 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Signature of

Role Plan administrator
Date 2013-03-15
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature
PETER B. NELSON, D.D.S., P.C. RETIREMENT PLAN 2011 061050087 2012-03-21 PETER B. NELSON, D.D.S., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-11-01
Business code 621210
Sponsor’s telephone number 8603471227
Plan sponsor’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457

Plan administrator’s name and address

Administrator’s EIN 061050087
Plan administrator’s name PETER B. NELSON, D.D.S., P.C.
Plan administrator’s address 717 NEWFIELD ST, MIDDLETOWN, CT, 06457
Administrator’s telephone number 8603471227

Signature of

Role Plan administrator
Date 2012-03-21
Name of individual signing PETER B. NELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
PETER B. NELSON Agent 717 NEWFIELD ST, MIDDLETOWN, CT, 06457, United States peter@drpeternelson.com 128 NEWFIELD STREET, MIDDLETOWN, CT, 06457, United States

Officer

Name Role Business address E-Mail Residence address
PETER B. NELSON Officer 717 NEWFIELD STREET, MIDDLETOWN, CT, 06457, United States peter@drpeternelson.com 128 NEWFIELD STREET, MIDDLETOWN, CT, 06457, United States
JOAN L. NELSON Officer 717 NEWFIELD STREET, MIDDLETOWN, CT, 06457, United States No data 128 NEWFIELD STREET REAR, MIDDLETOWN, CT, 06457, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006710253 2020-01-03 2020-01-03 Dissolution Certificate of Dissolution No data
0006536072 2019-04-17 No data Annual Report Annual Report 2016
0006536064 2019-04-17 No data Annual Report Annual Report 2012
0006536068 2019-04-17 No data Annual Report Annual Report 2014
0006536065 2019-04-17 No data Annual Report Annual Report 2013
0006536074 2019-04-17 No data Annual Report Annual Report 2017
0006536078 2019-04-17 No data Annual Report Annual Report 2018
0006536060 2019-04-17 No data Annual Report Annual Report 2011
0006536071 2019-04-17 No data Annual Report Annual Report 2015
0004340344 2010-11-29 No data Annual Report Annual Report 2010

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website