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SHARON ADLER, M.D., F.A.C.O.G., P.C.

Company Details

Entity Name: SHARON ADLER, M.D., F.A.C.O.G., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 25 Jan 1994 (Companies founded in January 1994)
Business ALEI: 0294947
Annual report due: 25 Jan 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 25 NEWELL ROAD UNIT E-32, BRISTOL, CT, 06010, United States
Mailing address: 25 NEWELL ROAD UNIT E-32, BRISTOL, CT, United States, 06010
ZIP code: 06010 (Companies in Hartford, 06010)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: bfongemie@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2021 061372435 2022-10-17 SHARON ADLER, M.D., F.A.C.O.G. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2020 061372435 2021-10-04 SHARON ADLER, M.D., F.A.C.O.G. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2019 061372435 2020-10-13 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2018 061372435 2019-06-13 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2017 061372435 2018-07-13 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2016 061372435 2017-06-23 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2015 061372435 2016-05-24 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2014 061372435 2015-06-09 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing SHARON ADLER, M.D.
Valid signature Filed with authorized/valid electronic signature
SHARON ADLER, M.D., F.A.C.O.G., P.C. PROFIT SHARING PLAN 2013 061372435 2014-06-05 SHARON ADLER, M.D., F.A.C.O.G. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M.D., F.A.C.O.G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074

Signature of
Role Plan administrator
Date 2014-06-05
Name of individual signing SHARON ADLER, M.D.
Valid signature Filed with authorized/valid electronic signature
SHARON ADLER, M. D., F. A. C. O. G., P. C. PROFIT SHARING PLAN 2012 061372435 2013-07-02 SHARON ADLER, M. D., F. A. C. O. G. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 8605828074
Plan sponsor’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010

Plan administrator’s name and address
Administrator’s EIN 061372435
Plan administrator’s name SHARON ADLER, M. D., F. A. C. O. G.
Plan administrator’s address 25 NEWELL ROAD, SUITE E32, BRISTOL, CT, 06010
Administrator’s telephone number 8605828074

Signature of
Role Plan administrator
Date 2013-07-02
Name of individual signing SHARON ADLER, M. D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SHARON ADLER M.D. Agent 25 NEWELL ROAD UNIT E-32, BRISTOL, CT, 06010, United States UNIT E32, 25 NEWELL RD, BRISTOL, CT, 06010, United States +1 860-202-0862 bfongemie@prohealthmd.com 33 FIRENZI LANE, FARMINGTON, CT, 06032, United States

Officer

Name Role Business address Residence address
JACK H. ADLER MD Officer 25 NEWELL ROAD, UNIT E-32, BRISTOL, CT, 06010, United States 33 FIRENZI LANE, FARMINGTON, CT, 06032, United States
SHARON O. ADLER M.D. Officer 25 NEWELL ROAD, UNIT E-32, BRISTOL, CT, 06010, United States 33 FIRENZI LANE, FARMINGTON, CT, 06032, United States

Director

Name Role Business address Residence address
JACK H. ADLER MD Director 25 NEWELL ROAD, UNIT E-32, BRISTOL, CT, 06010, United States 33 FIRENZI LANE, FARMINGTON, CT, 06032, United States
SHARON O. ADLER M.D. Director 25 NEWELL ROAD, UNIT E-32, BRISTOL, CT, 06010, United States 33 FIRENZI LANE, FARMINGTON, CT, 06032, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011254917 2024-05-31 No data Annual Report Annual Report No data
BF-0012360684 2024-05-31 No data Annual Report Annual Report No data
BF-0010630105 2024-05-31 No data Annual Report Annual Report No data
BF-0012607701 2024-04-12 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0008593053 2022-06-01 No data Annual Report Annual Report 2020
BF-0009844632 2022-06-01 No data Annual Report Annual Report No data
0006730486 2020-01-22 No data Annual Report Annual Report 2018
0006730488 2020-01-22 No data Annual Report Annual Report 2019
0005742115 2017-01-17 No data Annual Report Annual Report 2016
0005742116 2017-01-17 No data Annual Report Annual Report 2017

Related by officers

JACK H. ADLER MD

SEGULJIC & ADLER, M.D., P.C.

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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