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  5. SOUTHEASTERN PULMONARY ASSOCIATES, P.C.

SOUTHEASTERN PULMONARY ASSOCIATES, P.C.

Company Details

Entity Name: SOUTHEASTERN PULMONARY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Jan 1984
Date of dissolution: 15 Dec 2020
Business ALEI: 0151264
Annual report due: 01 Jan 2021
NAICS code: 621999 - All Other Miscellaneous Ambulatory Health Care Services
Business address: 155 MONTAUK AVE, NEW LONDON, CT, 06320, United States
Mailing address: 155 MONTAUK AVE, NEW LONDON, CT, United States, 06320
ZIP code: 06320
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: JOHNU43@AOL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2017 061096304 2018-10-17 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2018-10-17
Name of individual signing ROBERT KELTNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-17
Name of individual signing ROBERT KELTNER
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2016 061096304 2017-10-14 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2017-10-14
Name of individual signing ROBERT KELTNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-14
Name of individual signing ROBERT KELTNER
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 061096304 2016-10-14 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 061096304 2015-10-15 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2013 061096304 2014-10-10 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2014-10-10
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-10
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2012 061096304 2013-07-01 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-01
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2011 061096304 2012-10-15 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Plan administrator’s name and address
Administrator’s EIN 061096304
Plan administrator’s name SOUTHEASTERN PULMONARY ASSOCIATES, P.C.
Plan administrator’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320
Administrator’s telephone number 8604442223

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2010 061096304 2011-05-03 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Plan administrator’s name and address
Administrator’s EIN 061096304
Plan administrator’s name SOUTHEASTERN PULMONARY ASSOCIATES, P.C.
Plan administrator’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320
Administrator’s telephone number 8604442223

Signature of
Role Plan administrator
Date 2011-05-03
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature
SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2009 061096304 2010-07-26 SOUTHEASTERN PULMONARY ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 8604442223
Plan sponsor’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320

Plan administrator’s name and address
Administrator’s EIN 061096304
Plan administrator’s name SOUTHEASTERN PULMONARY ASSOCIATES, P.C.
Plan administrator’s address 155 MONTAUK AVENUE, NEW LONDON, CT, 06320
Administrator’s telephone number 8604442223

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing JOHN URBANETTI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
JOHN S. URBANETTI Agent 155 MONTAUK AVE, NEW LONDON, CT, 06320, United States 11242 TERRACE LANE, FULTON, CT, 20759, United States JOHNU43@AOL.COM 11242 TERRACE LANE, FULTON, CT, 20759, United States

Officer

Name Role Business address E-Mail Residence address
JOHN S. URBANETTI Officer 155 MONTAUK AVENUE, NEW LONDON, CT, 06320, United States JOHNU43@AOL.COM 11242 TERRACE LANE, FULTON, CT, 20759, United States
ROBERT J. KELTNER Officer 155 MONTAUK AVENUE, NEW LONDON, CT, 06320, United States No data 9 WINTHROP COURT, WATERFORD, CT, 06385, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007038131 2020-12-15 2020-12-15 Dissolution Certificate of Dissolution No data
0006965836 2020-08-24 No data Annual Report Annual Report 2020
0006396554 2019-02-21 No data Annual Report Annual Report 2019
0006093096 2018-02-23 No data Annual Report Annual Report 2018
0005740753 2017-01-16 No data Annual Report Annual Report 2017
0005474392 2016-01-27 No data Annual Report Annual Report 2016
0005474366 2016-01-27 No data Annual Report Annual Report 2015
0005033883 2014-01-31 No data Annual Report Annual Report 2014
0005033868 2014-01-31 No data Annual Report Annual Report 2013
0004482281 2011-12-09 No data Annual Report Annual Report 2012

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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