DANBURY SURGICAL ASSOCIATES, P.C.

Company Details

Entity Name:	DANBURY SURGICAL ASSOCIATES, P.C.
Jurisdiction:	Connecticut
Legal type:	Stock
Citizenship:	Domestic
Status:	Forfeited
Date Formed:	23 May 1969 (Companies founded in May 1969)
Business ALEI:	0267640
Mailing address:	46 FEDERAL ROAD, DANBURY, CT, 06810
Place of Formation:	CONNECTICUT
Total authorized shares:	5000

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2015

060855117

2016-07-13

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2016-07-13
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2014

060855117

2015-09-10

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2015-09-10
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2013

060855117

2014-09-25

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2014-09-25
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2012

060855117

2013-10-15

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	27 HOSPITAL AVE, SUITE 401, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2013-10-15
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2011

060855117

2012-10-12

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	46 FEDERAL RD, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	46 FEDERAL RD, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2012-10-12
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2010

060855117

2011-09-27

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	46 FEDERAL RD, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	46 FEDERAL RD, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2011-09-27
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

DANBURY SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN

2009

060855117

2010-10-15

DANBURY SURGICAL ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1990-01-01
Business code	621111
Sponsor’s telephone number	2037433877
Plan sponsor’s address	46 FEDERAL RD, DANBURY, CT, 068106129

Plan administrator’s name and address

Administrator’s EIN	060855117
Plan administrator’s name	DANBURY SURGICAL ASSOCIATES, P.C.
Plan administrator’s address	46 FEDERAL RD, DANBURY, CT, 068106129
Administrator’s telephone number	2037433877

Signature of

Role	Plan administrator
Date	2010-10-15
Name of individual signing	JOHN FAMIGLIETTI,MD
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Business address	Residence address
JOHN B. FAMIGLIETTI M.D.	Agent	46 FEDERAL ROAD, DANBURY, CT, 06810, United States	8 HIDDEN BROOK DR., BROOKFIELD CENTER, CT, 06805, United States

Officer

Name	Role	Business address	Residence address
VIJAY M. PATIL	Officer	46 FEDERAL ROAD, DANBURY, CT, 06810, United States	3 HIGH FIELDS DRIVE, DANBURY, CT, 06811, United States
STEVEN J. TENENBAUM	Officer	46 FEDERAL ROAD, DANBURY, CT, 06810, United States	8 WILLOW BROOK LANE, NEWTOWN, CT, 06470, United States
JOHN B. FAMIGLIETTI	Officer	46 FEDERAL ROAD, DANBURY, CT, 06810, United States	8 HIDDEN BROOK DRIVE, BROOKFIELD, CT, 06805, United States

History

Type	Old value	New value	Date of change
Name change	DANBURY SURGICAL ASSOCIATES, INC.	DANBURY SURGICAL ASSOCIATES, P.C.	1972-06-26

Filing

Filing number	Filing date	Effective date	Filing category	Filing type	Report year
BF-0010154686	2021-11-22	No data	Administrative Dissolution	Certificate of Dissolution/Revocation	No data
0007283899	2021-04-06	No data	Administrative Dissolution	Notice of Intent to Dissolve/Revoke	No data
0002856803	2004-07-02	2004-07-02	Annual Report	Annual Report	2004
0002680887	2003-07-21	2003-07-21	Annual Report	Annual Report	2003
0002473940	2002-06-10	2002-06-10	Annual Report	Annual Report	2002
0002413366	2002-05-02	2002-05-02	Change of Agent	Agent Change	No data
0002275939	2001-06-19	2001-06-19	Annual Report	Annual Report	2001
0002119258	2000-05-30	2000-05-30	Annual Report	Annual Report	2000
0001982174	1999-05-20	1999-05-20	Annual Report	Annual Report	1999
0001881215	1998-05-21	1998-05-21	Annual Report	Annual Report	1998
0001737807	1997-05-01	1997-05-01	Annual Report	Annual Report	1997
0001612983	1996-05-09	No data	Annual Report	Annual Report	1996
0000238938	1972-10-03	No data	Change of Agent Address	Agent Address Change	No data
0000238937	1972-09-19	No data	Miscellaneous	Miscellaneous	No data
0000972095	1972-06-26	No data	Amendment	Amend Name	No data
0000238941	1969-06-30	No data	First Report	Organization and First Report	No data
0000238940	1969-05-23	No data	Business Formation	Certificate of Incorporation	No data

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website

DANBURY SURGICAL ASSOCIATES, P.C.

Company Details

form 5500

Agent

Officer

History

Filing

Related by officers

Related by address