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  5. AVON VILLAGE FAMILY DENTISTRY PC

AVON VILLAGE FAMILY DENTISTRY PC

Company Details

Entity Name: AVON VILLAGE FAMILY DENTISTRY PC
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 23 Apr 1984
Business ALEI: 0155581
Annual report due: 23 Apr 2025
NAICS code: 621210 - Offices of Dentists
Business address: 32 EAST MAIN ST, AVON, CT, 06001, United States
Mailing address: 32 EAST MAIN ST, AVON, CT, United States, 06001
ZIP code: 06001
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 100
E-Mail: lmentastidmd@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AVON VILLAGE FAMILY DENTISTRY 2023 061110497 2024-06-12 AVON VILLAGE FAMILY DENTISTRY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2024-06-12
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2022 061110497 2023-03-14 AVON VILLAGE FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2023-03-14
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2021 061110497 2022-04-01 AVON VILLAGE FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2022-04-01
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2020 061110497 2021-02-09 AVON VILLAGE FAMILY DENTISTRY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2021-02-09
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2019 061110497 2020-02-06 AVON VILLAGE FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2020-02-06
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2018 061110497 2019-04-09 AVON VILLAGE FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2017 061110497 2018-03-06 AVON VILLAGE FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 2016 061110497 2017-03-08 AVON VILLAGE FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2017-03-08
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2015 061110497 2016-06-27 AVON VILLAGE FAMILY DENTISTRY 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2016-06-27
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-27
Name of individual signing LAUREN MENTASTI
Valid signature Filed with authorized/valid electronic signature
AVON VILLAGE FAMILY DENTISTRY 401(K) PROFIT SHARING PLAN 2014 061110497 2015-05-26 AVON VILLAGE FAMILY DENTISTRY 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 8606781140
Plan sponsor’s address 32 EAST MAIN STREET, AVON, CT, 060013801

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing ANN M. SAGALYN, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Phone E-Mail Residence address
LAUREN MENTASTI Officer 32 EAST MAIN STREET, AVON, CT, 06001, United States +1 860-678-1140 lmentastidmd@gmail.com CONNECTICUT, 8 SWEETHEART MOUNTAIN ROAD, COLLINSVILLE, CT, 06019, United States
Samantha G. Weston Officer 32 EAST MAIN ST, AVON, CT, 06001, United States No data No data 27 Sweetheart Mountain Road, Collinsville, CT, 06019, United States

Director

Name Role Business address Phone E-Mail Residence address
LAUREN MENTASTI Director 32 EAST MAIN STREET, AVON, CT, 06001, United States +1 860-678-1140 lmentastidmd@gmail.com CONNECTICUT, 8 SWEETHEART MOUNTAIN ROAD, COLLINSVILLE, CT, 06019, United States
Samantha G. Weston Director 32 EAST MAIN ST, AVON, CT, 06001, United States No data No data 27 Sweetheart Mountain Road, Collinsville, CT, 06019, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
LAUREN MENTASTI Agent 32 EAST MAIN STREET, AVON, CT, 06001, United States 32 EAST MAIN STREET, AVON, CT, 06001, United States +1 860-678-1140 lmentastidmd@gmail.com CONNECTICUT, 8 SWEETHEART MOUNTAIN ROAD, COLLINSVILLE, CT, 06019, United States

History

Type Old value New value Date of change
Name change ANN M. SAGALYN, D.M.D., P.C. AVON VILLAGE FAMILY DENTISTRY PC 2013-06-13
Name change SAGALYN & KNOWLES, P.C. ANN M. SAGALYN, D.M.D., P.C. 1985-03-07

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012049700 2024-03-25 No data Annual Report Annual Report No data
BF-0011078563 2023-04-03 No data Annual Report Annual Report No data
BF-0010394288 2022-03-23 No data Annual Report Annual Report 2022
0007289420 2021-04-07 No data Annual Report Annual Report 2021
0006879227 2020-04-08 No data Annual Report Annual Report 2020
0006755805 2020-02-13 No data Interim Notice Interim Notice No data
0006435405 2019-03-08 No data Annual Report Annual Report 2019
0006119229 2018-03-13 No data Annual Report Annual Report 2018
0006055505 2018-02-05 No data Annual Report Annual Report 2017
0005534349 2016-04-11 No data Annual Report Annual Report 2016

Related by officers

LAUREN MENTASTI

OLD AVON VILLAGE NORTH CONDOMINIUM ASSOCIATION, INC. SWEETHEART MOUNTAIN HOMEOWNER'S ASSOCIATION, INC. 32 EAST MAIN LLC

Related by address

32 EAST MAIN ST, AVON, CT, 06001, United States

OLD AVON VILLAGE NORTH CONDOMINIUM ASSOCIATION, INC.

32 EAST MAIN ST, AVON, CT, United States, 06001

OLD AVON VILLAGE NORTH CONDOMINIUM ASSOCIATION, INC.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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