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  5. HARTFORD PATHOLOGY ASSOCIATES, P.C.

HARTFORD PATHOLOGY ASSOCIATES, P.C.

Company Details

Entity Name: HARTFORD PATHOLOGY ASSOCIATES, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 01 Oct 1992
Business ALEI: 0278495
Annual report due: 01 Oct 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 80 SEYMOUR ST RM 340, HARTFORD, CT, 06102, United States
Mailing address: 80 SEYMOUR ST RM 340, HARTFORD, CT, United States, 06102
ZIP code: 06102
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 15000
E-Mail: george.kieley@physiciansadvisoryservices.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2023 061340963 2024-06-24 HARTFORD PATHOLOGY ASSOCIATES, P.C. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2022 061340963 2023-08-22 HARTFORD PATHOLOGY ASSOCIATES, P.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2023-08-22
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2021 061340963 2022-07-26 HARTFORD PATHOLOGY ASSOCIATES, P.C. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2020 061340963 2021-06-07 HARTFORD PATHOLOGY ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2019 061340963 2020-06-26 HARTFORD PATHOLOGY ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2018 061340963 2019-07-22 HARTFORD PATHOLOGY ASSOCIATES, P.C. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 80 SEYMOUR STREET, HARTFORD, CT, 06106

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2017 061340963 2018-09-28 HARTFORD PATHOLOGY ASSOCIATES, P.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address 99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT, 06102

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing GEORGE KIELEY
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2016 061340963 2017-08-07 HARTFORD PATHOLOGY ASSOCIATES, P.C. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address HARTFORD HOSPITAL DEPT OF PATHOLOGY, 80 SEYMOUR STREET, HARTFORD, CT, 06102
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2015 061340963 2016-10-11 HARTFORD PATHOLOGY ASSOCIATES, P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address HARTFORD HOSPITAL OF PATHOLOGY, 80 SEYMOUR STREET, HARTFORD, CT, 06102

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing WILLIAM PASTUSZAK, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing WILLIAM PASTUSZAK, M.D.
Valid signature Filed with authorized/valid electronic signature
HARTFORD PATHOLOGY ASSOCIATES, P.C. 401(K) SAVINGS PLAN 2014 061340963 2015-09-08 HARTFORD PATHOLOGY ASSOCIATES, P.C. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1992-09-01
Business code 621111
Sponsor’s telephone number 8602787201
Plan sponsor’s address HARTFORD HOSPITAL OF PATHOLOGY, 80 SEYMOUR STREET, HARTFORD, CT, 06102

Signature of
Role Plan administrator
Date 2015-09-08
Name of individual signing WILLIAM PASTUSZAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-08
Name of individual signing WILLIAM PASTUSZAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
GEORGE KIELEY Agent HARTFORD PATHOLOGY ASSOCIATES, P.C., 80 SEYMOUR ST ROOM 340, HARTFORD, CT, 06102, United States 16 MALLARD DR, AVON, CT, 06001, United States +1 860-888-3637 george.kieley@physiciansadvisoryservices.com 16 MALLARD DR, AVON, CT, 06001, United States

Officer

Name Role Business address Residence address
BRADFORD SHERBURNE MD Officer 99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT, 06108, United States 22 CONCORD ST, WEST HARTFORD, CT, 06119, United States
Bradford Sherburne Officer 80 Seymour St, Hartford, CT, 06115, United States 22 Concord Street, West Hartford, CT, 06119, United States
SRINIVAS MANDAVILLI M.D. Officer 80 SEYMOUR STREET, HARTFORD, CT, 06102, United States 100 WOOD POND ROAD, WEST HARTFORD, CT, 06107, United States

Director

Name Role Business address Residence address
BRADFORD SHERBURNE MD Director 99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT, 06108, United States 22 CONCORD ST, WEST HARTFORD, CT, 06119, United States
SRINIVAS MANDAVILLI M.D. Director 80 SEYMOUR STREET, HARTFORD, CT, 06102, United States 100 WOOD POND ROAD, WEST HARTFORD, CT, 06107, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012389801 2024-09-09 No data Annual Report Annual Report No data
BF-0011395620 2023-09-05 No data Annual Report Annual Report No data
BF-0010310283 2022-09-27 No data Annual Report Annual Report 2022
BF-0009818172 2021-09-23 No data Annual Report Annual Report No data
0007004957 2020-10-19 No data Annual Report Annual Report 2020
0006671729 2019-11-04 No data Annual Report Annual Report 2019
0006334064 2019-01-23 No data Annual Report Annual Report 2018
0005965834 2017-11-02 2017-11-02 Change of Agent Agent Change No data
0005950564 2017-10-23 No data Annual Report Annual Report 2017
0005714561 2016-12-08 No data Annual Report Annual Report 2015

Related by officers

SRINIVAS MANDAVILLI M.D.

PHYSICIANS ADVISORY SERVICES COMPANY

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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