| Entity Name: | TERESITA G. MASCARDO M.D., P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 22 Jan 1982 |
| Date of dissolution: | 05 Oct 2011 |
| Business ALEI: | 0126660 |
| Annual report due: | 20 Jan 2012 |
| Business address: | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877 |
| ZIP code: | 06877 |
| County: | Fairfield |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | teresitamascardomd@hotmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERESITA G. MASCARDO, M.D., P.C. PROFIT SHARING PLAN | 2010 | 061055250 | 2011-06-15 | TERESITA G. MASCARDO, M.D., P.C. | 8 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 061055250 |
| Plan administrator’s name | TERESITA G. MASCARDO, M.D., P.C. |
| Plan administrator’s address | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877 |
| Administrator’s telephone number | 2034310280 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-15 |
| Name of individual signing | TERESITA G. MASCARDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-06-15 |
| Name of individual signing | TERESITA G. MASCARDO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2034310280 |
| Plan sponsor’s address | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877 |
Plan administrator’s name and address
| Administrator’s EIN | 061055250 |
| Plan administrator’s name | TERESITA G. MASCARDO, M.D., P.C. |
| Plan administrator’s address | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877 |
| Administrator’s telephone number | 2034310280 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-22 |
| Name of individual signing | TERESITA MASCARDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-22 |
| Name of individual signing | TERESITA MASCARDO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| ARTHUR C. WEINSHANK ESQ | Agent | 51 MAIN ST, NEW MILFORD, CT, 06776, United States | teresitamascardomd@hotmail.com | 14 COVE RD, BROOKFIELD, CT, 06804, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DR. RENATO N. MASCARDO | Officer | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877, United States | 653 BRANCHVILLE ROAD, RIDGEFIELD, CT, 06877, United States |
| DR. TERESITA G. MASCARDO | Officer | 598 DANBURY ROAD, RIDGEFIELD, CT, 06877, United States | 653 BRANCHVILLE ROAD, RIDGEFIELD, CT, 06877, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000310 | Out-Patient Surgical Facility | INACTIVE | No data | 2009-07-01 | 2009-07-01 | 2011-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004454198 | 2011-10-05 | 2011-10-05 | Dissolution | Certificate of Dissolution | No data |
| 0004309753 | 2011-01-21 | No data | Annual Report | Annual Report | 2010 |
| 0004309754 | 2011-01-21 | No data | Annual Report | Annual Report | 2011 |
| 0004074179 | 2010-01-04 | No data | Annual Report | Annual Report | 2009 |
| 0003653174 | 2008-02-26 | No data | Annual Report | Annual Report | 2008 |
| 0003384537 | 2007-01-26 | No data | Annual Report | Annual Report | 2007 |
| 0003160064 | 2006-01-30 | No data | Annual Report | Annual Report | 2006 |
| 0003001285 | 2005-02-14 | No data | Annual Report | Annual Report | 2005 |
| 0002870699 | 2004-11-18 | No data | Annual Report | Annual Report | 2001 |
| 0002870702 | 2004-11-18 | No data | Annual Report | Annual Report | 2003 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
