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PEDIATRIC DENTAL ASSOCIATES, P.C.

Company Details

Entity Name: PEDIATRIC DENTAL ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 04 Oct 1984 (Companies founded in October 1984)
Business ALEI: 0161593
Annual report due: 04 Oct 2025
NAICS code: 621210 - Offices of Dentists
Business address: 192 MAIN STREET, MANCHESTER, CT, 06042, United States
Mailing address: 192 MAIN STREET, MANCHESTER, CT, United States, 06042
ZIP code: 06042 (Companies in Hartford, 06042)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: pdaadmin@pediatricdental.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2023 061116171 2024-05-16 PEDIATRIC DENTAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2024-05-16
Name of individual signing PRADEEPA PADMANABHAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2022 061116171 2023-05-23 PEDIATRIC DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2023-05-23
Name of individual signing PRADEEPA PADMANABHAN
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2021 061116171 2022-05-17 PEDIATRIC DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2022-05-17
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2020 061116171 2021-05-18 PEDIATRIC DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2021-05-18
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2019 061116171 2020-06-30 PEDIATRIC DENTAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2020-06-30
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2018 061116171 2019-04-12 PEDIATRIC DENTAL ASSOCIATES, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2019-04-12
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2017 061116171 2018-05-30 PEDIATRIC DENTAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN 2016 061116171 2017-06-27 PEDIATRIC DENTAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2017-06-27
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2015 061116171 2016-05-04 PEDIATRIC DENTAL ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2016-05-04
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-04
Name of individual signing GLENN KOEHLER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC DENTAL ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN 2014 061116171 2015-07-28 PEDIATRIC DENTAL ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621210
Sponsor’s telephone number 8606494655
Plan sponsor’s address 192 MAIN STREET, MANCHESTER, CT, 06040

Signature of

Role Plan administrator
Date 2015-05-06
Name of individual signing CATHLEEN KOWALSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-06
Name of individual signing CATHLEEN KOWALSKI
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
Pradeepa Padmanabhan Officer 192 Main Street, Manchester, CT, 06042, United States 6 White Pine Terrace, Weatogue, CT, 06089, United States
Sharon Soria Officer 192 Main Street, Manchester, CT, 06042, United States 3526 Hebron Ave, Glastonbury, CT, 06033-2846, United States

Agent

Name Role
KAHAN KERENSKY CAPOSSELA, LLP Agent

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012049992 2024-09-19 No data Annual Report Annual Report No data
BF-0011078133 2023-09-18 No data Annual Report Annual Report No data
BF-0010314208 2022-09-06 No data Annual Report Annual Report 2022
BF-0010161815 2021-12-06 2021-12-06 Interim Notice Interim Notice No data
BF-0010129507 2021-10-13 2021-10-13 Interim Notice Interim Notice No data
BF-0009819866 2021-09-25 No data Annual Report Annual Report No data
0006975138 2020-09-09 No data Annual Report Annual Report 2020
0006853217 2020-03-30 No data Annual Report Annual Report 2019
0006638988 2019-09-07 No data Annual Report Annual Report 2014
0006638997 2019-09-07 No data Annual Report Annual Report 2017

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website