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GUILFORD PEDIATRICS AND SHORELINE CONCUSSION CENTER, PC

Company Details

Entity Name: GUILFORD PEDIATRICS AND SHORELINE CONCUSSION CENTER, PC
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 10 Sep 1987 (Companies founded in September 1987)
Business ALEI: 0205720
Annual report due: 10 Sep 2025
NAICS code: 621112 - Offices of Physicians, Mental Health Specialists
Business address: 152 BROAD ST, GUILFORD, CT, 06437, United States
Mailing address: 152 BROAD ST, GUILFORD, CT, United States, 06437
ZIP code: 06437 (Companies in New Haven, 06437)
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: staceyd91@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2023 061212194 2024-03-27 GUILFORD PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535238
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2024-03-27
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-27
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2022 061212194 2023-06-05 GUILFORD PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535238
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-05
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2021 061212194 2022-03-21 GUILFORD PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2022-03-21
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2020 061212194 2021-03-03 GUILFORD PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2021-03-03
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2019 061212194 2020-06-30 GUILFORD PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2018 061212194 2019-03-14 GUILFORD PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2019-03-14
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2017 061212194 2018-06-11 GUILFORD PEDIATRICS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2016 061212194 2017-02-28 GUILFORD PEDIATRICS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2017-02-28
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2015 061212194 2016-06-15 GUILFORD PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature
GUILFORD PEDIATRICS, P.C. 401(K) PLAN AND TRUST 2014 061212194 2015-02-20 GUILFORD PEDIATRICS, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 2034535235
Plan sponsor’s address 152 BROAD STREET, GUILFORD, CT, 06437

Signature of
Role Plan administrator
Date 2015-02-20
Name of individual signing JONATHAN H.R. STEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
JONATHAN H.R. STEIN Agent 152 BROAD ST, GUILFORD, CT, 06437, United States 152 BROAD ST, GUILFORD, CT, 06437, United States +1 203-453-5235 jstein4266@yahoo.com 84 BARTLETT AVE, MADISON, CT, 06443, United States

Officer

Name Role Business address Phone E-Mail Residence address
JONATHAN H.R. STEIN Officer 152 BROAD ST, GUILFORD, CT, 06437, United States +1 203-453-5235 jstein4266@yahoo.com 84 BARTLETT AVE, MADISON, CT, 06443, United States
NANCY CZARKOWSKI Officer 152 BROAD ST, GUILFORD, CT, 06437, United States No data No data 177 CHAFFINCH ISL RD, GUILFORD, CT, 06437, United States

History

Type Old value New value Date of change
Name change GUILFORD PEDIATRICS, P.C. GUILFORD PEDIATRICS AND SHORELINE CONCUSSION CENTER, PC 2011-03-07

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012189433 2024-09-10 No data Annual Report Annual Report No data
BF-0011386463 2023-09-10 No data Annual Report Annual Report No data
BF-0010856269 2022-09-10 No data Annual Report Annual Report No data
BF-0008610057 2022-06-24 No data Annual Report Annual Report 2013
BF-0008610055 2022-06-24 No data Annual Report Annual Report 2014
BF-0008610061 2022-06-24 No data Annual Report Annual Report 2019
BF-0008610060 2022-06-24 No data Annual Report Annual Report 2017
BF-0008610063 2022-06-24 No data Annual Report Annual Report 2012
BF-0008610056 2022-06-24 No data Annual Report Annual Report 2016
BF-0008610059 2022-06-24 No data Annual Report Annual Report 2015

Related by officers

NANCY CZARKOWSKI

NEW HAVEN ZEN CENTER, INCORPORATED

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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