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  5. JEFFREY D. BERT, D.D.S., M.D. SC., P.C.

JEFFREY D. BERT, D.D.S., M.D. SC., P.C.

Company Details

Entity Name: JEFFREY D. BERT, D.D.S., M.D. SC., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 09 Jul 1985
Date of dissolution: 22 Dec 2017
Business ALEI: 0171651
Annual report due: 06 Jul 2012
Business address: 561 SAYBROOK RD., MIDDLETOWN, CT, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: drjbert@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEFFREY D. BERT, D. D. S. , M. D. SC. , P. C. PROFIT SHARING PLAN 2016 061138464 2017-10-05 JEFFREY D. BERT, D.D.S., M.D. SC., P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 621210
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JEFFERY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JEFFREY D. BERT, D.D.S., M.D.SC., P.C. PENSION PLAN 2016 061138464 2017-08-15 JEFFREY D. BERT, D.D.S., M.D.SC., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
JEFFREY D. BERT, D.D.S., M.D. SC., P.C. PROFIT SHARING PLAN 2016 061138464 2017-04-05 JEFFREY D. BERT, D.D.S., M.D. SC., P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 621210
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2017-04-05
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JEFFREY D. BERT, D.D.S., M.D. SC., P.C. PROFIT SHARING PLAN 2015 061138464 2016-05-08 JEFFREY D. BERT, D.D.S., M.D. SC., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 621210
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2016-05-08
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-08
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JEFFREY D. BERT, D.D.S., M.D.SC., P.C. PENSION PLAN 2015 061138464 2016-09-12 JEFFREY D. BERT, D.D.S., M.D.SC., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
JEFFREY D. BERT, D.D.S., M.D.SC., P.C. PENSION PLAN 2014 061138464 2015-08-18 JEFFREY D. BERT, D.D.S., M.D.SC., P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
JEFFREY D. BERT, D.D.S., M.D. SC., P.C. PROFIT SHARING PLAN 2014 061138464 2015-07-23 JEFFREY D. BERT, D.D.S., M.D. SC., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 621210
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2015-07-23
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JEFFREY D. BERT, D.D.S., M.D.SC., P.C. PENSION PLAN 2013 061138464 2014-10-03 JEFFREY D. BERT, D.D.S., M.D.SC., P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457
JEFFREY D. BERT, D.D.S., M.D. SC., P.C. PROFIT SHARING PLAN 2013 061138464 2014-06-30 JEFFREY D. BERT, D.D.S., M.D. SC., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-07-01
Business code 621210
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing JEFFREY D. BERT, D.D.S.
Valid signature Filed with authorized/valid electronic signature
JEFFREY D. BERT, D.D.S., M.D.SC., P.C. PENSION PLAN 2012 061138464 2013-09-16 JEFFREY D. BERT, D.D.S., M.D.SC., P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8603478004
Plan sponsor’s address 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2013-09-16
Name of individual signing JEFFREY D BERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-16
Name of individual signing JEFFREY D BERT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
JEFFREY D. BERT Agent 561 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States drjbert@comcast.net OAK RIDGE DRIVE, HADDAM, CT, 06438, United States

Officer

Name Role Business address Residence address
JOSEPH JAMES CORBETT Officer 561 SAYBROOK RD., MIDDLETOWN, CT, United States 56 GREAT HILLWOOD RD., MOODUS, CT, 06469, United States
JEFFREY DAVID BERT Officer 561 SAYBROOK RD., MIDDLETOWN, CT, United States 273 WALKLEY HILL ROAD, HADDAM, CT, 06438, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005989863 2017-12-22 2017-12-22 Dissolution Certificate of Dissolution No data
0004585812 2011-06-23 No data Annual Report Annual Report 2011
0004240819 2010-07-15 No data Annual Report Annual Report 2010
0003986493 2009-07-02 No data Annual Report Annual Report 2009
0003737628 2008-07-17 No data Annual Report Annual Report 2008
0003500368 2007-07-12 No data Annual Report Annual Report 2007
0003261451 2006-08-01 No data Annual Report Annual Report 2006
0003076255 2005-07-22 No data Annual Report Annual Report 2005
0002889718 2004-08-06 No data Annual Report Annual Report 2004
0002675617 2003-07-11 2003-07-11 Annual Report Annual Report 2003

Related by officers

JEFFREY D. BERT

561 SAYBROOK ROAD, LLC

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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