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  5. COVENTRY INTERNAL MEDICINE, P.C.

COVENTRY INTERNAL MEDICINE, P.C.

Company Details

Entity Name: COVENTRY INTERNAL MEDICINE, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 02 Jan 1990
Date of dissolution: 21 Dec 2011
Business ALEI: 0242495
Annual report due: 30 Jan 2012
Business address: 1366 MAIN ST., COVENTRY, CT, 06238
Mailing address: P.O. BOX 687, COVENTRY, CT, 06238
ZIP code: 06238
County: Tolland
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: mkeenan@wcmh.org

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COVENTRY INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2012 061284829 2013-05-10 COVENTRY INTERNAL MEDICINE, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8607420807
Plan sponsor’s address 1776 BOSTON TURNPIKE, COVENTRY, CT, 06238

Signature of
Role Plan administrator
Date 2013-05-10
Name of individual signing MICHAEL KEENAN, M.D.
Valid signature Filed with authorized/valid electronic signature
COVENTRY INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2011 061284829 2012-07-09 COVENTRY INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8607420807
Plan sponsor’s address 1776 BOSTON TURNPIKE, COVENTRY, CT, 06238

Plan administrator’s name and address
Administrator’s EIN 061284829
Plan administrator’s name COVENTRY INTERNAL MEDICINE, P.C.
Plan administrator’s address 1776 BOSTON TURNPIKE, COVENTRY, CT, 06238
Administrator’s telephone number 8607420807

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing MICHAEL KEENAN, M.D.
Valid signature Filed with authorized/valid electronic signature
COVENTRY INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2010 061284829 2011-09-29 COVENTRY INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8607420807
Plan sponsor’s address P O BOX 687, COVENTRY, CT, 062380687

Plan administrator’s name and address
Administrator’s EIN 061284829
Plan administrator’s name COVENTRY INTERNAL MEDICINE, P.C.
Plan administrator’s address P O BOX 687, COVENTRY, CT, 062380687
Administrator’s telephone number 8607420807

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing MICHAEL KEENAN, M.D.
Valid signature Filed with authorized/valid electronic signature
COVENTRY INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2009 061284829 2010-07-29 COVENTRY INTERNAL MEDICINE, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 8607420807
Plan sponsor’s address P O BOX 687, COVENTRY, CT, 062380687

Plan administrator’s name and address
Administrator’s EIN 061284829
Plan administrator’s name COVENTRY INTERNAL MEDICINE, P.C.
Plan administrator’s address P O BOX 687, COVENTRY, CT, 062380687
Administrator’s telephone number 8607420807

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing MICHAEL KEENAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
MICHAEL EUGENE KEENAN Agent 1366 MAIN STREET, COVENTRY, CT, 06238, United States 39 CROSS STREET, COVENTRY, CT, 06238, United States

Officer

Name Role Business address Residence address
MICHAEL E. KEENAN M.D. Officer 1366 MAIN STREET, COVENTRY, CT, 06238, United States 39 CROSS STREET, COVENTRY, CT, 06238, United States
LINDA KEENAN Officer 1366 MAIN STREET, COVENTRY, CT, 06238, United States 39 CROSS STREET, COVENTRY, CT, 06238, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0004489699 2011-12-21 2011-12-21 Dissolution Certificate of Dissolution No data
0004377163 2011-01-07 No data Annual Report Annual Report 2011
0004099148 2010-01-07 No data Annual Report Annual Report 2010
0003864581 2009-02-04 2009-02-04 Change of Agent Agent Change No data
0003879099 2009-02-03 No data Annual Report Annual Report 2009
0003846046 2009-01-09 2009-01-09 Agent Resignation Agent Resignation No data
0003639912 2008-02-08 No data Annual Report Annual Report 2008
0003379360 2007-01-19 No data Annual Report Annual Report 2007
0003158189 2006-01-25 No data Annual Report Annual Report 2006
0003000502 2005-02-14 2005-02-14 Annual Report Annual Report 2005

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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