Search icon

COTTAGE GROVE CARDIOLOGY, P.C.

Company Details

Entity Name: COTTAGE GROVE CARDIOLOGY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: First report due
Date Formed: 19 Jun 1989 (Companies founded in June 1989)
Date of dissolution: 19 Jul 2022
Business ALEI: 0236141
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States
Mailing address: 711 COTTAGE GROVE RD., BLOOMFIELD, CT, United States, 06002
ZIP code: 06002 (Companies in Hartford, 06002)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: rbloom1470@aol.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2021 061271777 2022-06-07 COTTAGE GROVE CARDIOLOGY, P.C. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2020 061271777 2021-04-02 COTTAGE GROVE CARDIOLOGY, P.C. 62
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2019 061271777 2020-07-29 COTTAGE GROVE CARDIOLOGY, P.C. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2018 061271777 2019-09-09 COTTAGE GROVE CARDIOLOGY, P.C. 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2017 061271777 2018-03-21 COTTAGE GROVE CARDIOLOGY, P.C. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2016 061271777 2017-05-24 COTTAGE GROVE CARDIOLOGY, P.C. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2015 061271777 2016-05-04 COTTAGE GROVE CARDIOLOGY, P.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2014 061271777 2015-04-06 COTTAGE GROVE CARDIOLOGY, P.C. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2013 061271777 2014-06-02 COTTAGE GROVE CARDIOLOGY, P.C. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002
COTTAGE GROVE CARDIOLOGY, P.C. RETIREMENT PLAN 2012 061271777 2013-04-25 COTTAGE GROVE CARDIOLOGY, P.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8602428756
Plan sponsor’s address 711 COTTAGE GROVE ROAD NORTH, BLOOMFIELD, CT, 06002

Signature of

Role Plan administrator
Date 2013-04-25
Name of individual signing RONALD JEFFREY BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-25
Name of individual signing RONALD JEFFREY BLOOM, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Ronald Bloom Agent 711 Cottage Grove Rd, Bloomfield, CT, 06002-3060, United States 711 Cottage Grove Rd, Bloomfield, CT, 06002-3060, United States +1 860-478-1942 rbloom1470@aol.com 17 Bay Hill Dr, Bloomfield, CT, 06002-2373, United States

Officer

Name Role Business address Residence address
BRETT NOWLAN MD FACC Officer 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 63 PARK PLACE CIRCLE, WEST HARTFORD, CT, 06110, United States
JAWAD HAIDER MD FACC Officer 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 28 CRANBROOK, WEST HARTFORD, CT, 06117, United States
CAROLYN M. KOSACK MD Officer 711 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States 14 MAPLECREST LANE, NORTH HAVEN, CT, 06473, United States
VINCENT F ROMANO MD FACC Officer 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 300 COTTON HILL ROAD, NEW HARTFORD, CT, 06057, United States
RONALD BLOOM MD Officer 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 17 BAYHILL DRIVE, BLOOMFIELD, CT, 06002, United States

Director

Name Role Business address Residence address
JAWAD HAIDER MD FACC Director 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 28 CRANBROOK, WEST HARTFORD, CT, 06117, United States
CAROLYN M. KOSACK MD Director 711 COTTAGE GROVE ROAD, BLOOMFIELD, CT, 06002, United States 14 MAPLECREST LANE, NORTH HAVEN, CT, 06473, United States
VINCENT F ROMANO MD FACC Director 711 COTTAGE GROVE RD., BLOOMFIELD, CT, 06002, United States 300 COTTON HILL ROAD, NEW HARTFORD, CT, 06057, United States

History

Type Old value New value Date of change
Name change RONALD J. BLOOM, M.D., P.C. COTTAGE GROVE CARDIOLOGY, P.C. 1997-03-11

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0009752370 2022-07-18 No data Annual Report Annual Report No data
BF-0010684085 2022-07-18 2022-07-19 Dissolution Certificate of Dissolution No data
0007008813 2020-10-27 No data Annual Report Annual Report 2020
0006564358 2019-05-24 No data Annual Report Annual Report 2019
0006262213 2018-10-19 2018-10-19 Change of Agent Agent Change No data
0006250805 2018-09-25 No data Annual Report Annual Report 2018
0005945548 2017-10-13 No data Annual Report Annual Report 2017
0005851922 2017-05-12 2017-05-12 Interim Notice Interim Notice No data
0005701324 2016-11-22 No data Annual Report Annual Report 2016
0005701319 2016-11-22 No data Annual Report Annual Report 2014

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website