| Entity Name: | GRIFFIN ANESTHESIA ASSOCIATES, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 03 Feb 1987 |
| Date of dissolution: | 03 Jan 2011 |
| Business ALEI: | 0194306 |
| Annual report due: | 01 Feb 2011 |
| Business address: | 60 MAPLE AVE., DERBY, CT, 06418 |
| ZIP code: | 06418 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRIFFIN ANESTHESIA ASSOCIATES, P. C. 401(K)/PROFIT SHARING PLAN | 2010 | 061188844 | 2011-09-30 | GRIFFIN ANESTHESIA ASSOCIATES, P. C | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 061188844 |
| Plan administrator’s name | GRIFFIN ANESTHESIA ASSOCIATES, P. C |
| Plan administrator’s address | 60 MAPLE AVENUE, DERBY, CT, 06418 |
| Administrator’s telephone number | 2037356493 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-30 |
| Name of individual signing | DWAYNE LIVIGNI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-06-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2037356493 |
| Plan sponsor’s address | 60 MAPLE AVENUE, DERBY, CT, 06418 |
Plan administrator’s name and address
| Administrator’s EIN | 061188844 |
| Plan administrator’s name | GRIFFIN ANESTHESIA ASSOCIATES, P. C |
| Plan administrator’s address | 60 MAPLE AVENUE, DERBY, CT, 06418 |
| Administrator’s telephone number | 2037356493 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-30 |
| Name of individual signing | DWAYNE LIVIGNI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1987-06-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2037356493 |
| Plan sponsor’s address | 60 MAPLE AVENUE, DERBY, CT, 06418 |
Plan administrator’s name and address
| Administrator’s EIN | 061188844 |
| Plan administrator’s name | GRIFFIN ANESTHESIA ASSOCIATES, P. C |
| Plan administrator’s address | 60 MAPLE AVENUE, DERBY, CT, 06418 |
| Administrator’s telephone number | 2037356493 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-28 |
| Name of individual signing | WILFREDO CADELINA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| IRA ROCK | Agent | SAME AS RES. | 130 DIVISION STREET, DERBY, CT, 06418, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| MERTON A. SMITH MD | Officer | 60 MAPLE AVE., DERBY, CT, 06418, United States | 633 OLD WOODBURY ROAD, SOUTHBURY, CT, 06488, United States |
| WILFREDO CADELINA | Officer | 60 MAPLE AVE., DERBY, CT, 06418, United States | 25 RIDGE RD., BETHANY, CT, 06525, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004304607 | 2011-01-03 | 2011-01-03 | Dissolution | Certificate of Dissolution | No data |
| 0004135528 | 2010-02-16 | No data | Annual Report | Annual Report | 2010 |
| 0003885801 | 2009-02-09 | No data | Annual Report | Annual Report | 2009 |
| 0003649093 | 2008-02-22 | No data | Annual Report | Annual Report | 2008 |
| 0003398538 | 2007-02-15 | No data | Annual Report | Annual Report | 2007 |
| 0003167798 | 2006-02-10 | No data | Annual Report | Annual Report | 2006 |
| 0003017468 | 2005-03-03 | No data | Annual Report | Annual Report | 2005 |
| 0002785528 | 2004-03-04 | 2004-03-04 | Annual Report | Annual Report | 2004 |
| 0002604199 | 2003-03-19 | 2003-03-19 | Annual Report | Annual Report | 2003 |
| 0002409308 | 2002-02-13 | 2002-02-13 | Annual Report | Annual Report | 2002 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
