| Entity Name: | MIDDLESEX UROLOGY, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 05 Apr 1994 |
| Date of dissolution: | 26 Apr 2021 |
| Business ALEI: | 0296864 |
| Annual report due: | 04 Apr 2020 |
| Business address: | 520 SAYBROOK ROAD SUITE 100B, MIDDLETOWN, CT, 06457, United States |
| Mailing address: | 520 SAYBROOK ROAD SUITE 100B, MIDDLETOWN, CT, United States, 06457 |
| ZIP code: | 06457 |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| E-Mail: | smala@comcast.net |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIDDLESEX UROLOGY GROUP, P.C. PROFIT SHARING PLAN | 2014 | 060990617 | 2016-06-29 | MIDDLESEX UROLOGY GROUP, P.C. | 27 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2016-06-29 |
| Name of individual signing | GEOFFREY HERTER, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address | |
|---|---|---|---|---|
| PETER D. HERSHMAN | Agent | HERSHMAN LEGAL GROUP, P.C., ONE CHURCH STREET, NEW HAVEN, CT, 06510, United States | smala@comcast.net | 420 E Main Street, Ste 10, Branford, CT, 06405, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| TIMOTHY C. SIEGRIST | Officer | 520 SAYBROOK ROAD, MIDDLETOWN, CT, 06457, United States | 121 GARFIELD ROAD, WEST HARTFORD, CT, 06107, United States |
| EDWARD G. MYER M.D. | Officer | 520 SAYBROOK RD., SUITE 100B, MIDDLETOWN, CT, 06457, United States | 46 RIBERA LANE, MIDDLETOWN, CT, 06457, United States |
| RICHARD O. FRINK M.D. | Officer | 520 SAYBROOK RD., SUITE 100B, MIDDLETOWN, CT, 06457, United States | 33 WICKFORD PLACE, MADISON, CT, 06443, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MIDDLESEX UROLOGY GROUP, P.C. | MIDDLESEX UROLOGY, P.C. | 2002-05-30 |
| Name change | UROLOGY OF ESSEX, P.C. | MIDDLESEX UROLOGY GROUP, P.C. | 2002-02-15 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0007308657 | 2021-04-26 | 2021-04-26 | Dissolution | Certificate of Dissolution | No data |
| 0006468164 | 2019-03-15 | No data | Annual Report | Annual Report | 2019 |
| 0006233341 | 2018-08-15 | No data | Annual Report | Annual Report | 2013 |
| 0006233331 | 2018-08-15 | No data | Annual Report | Annual Report | 2011 |
| 0006233350 | 2018-08-15 | No data | Annual Report | Annual Report | 2017 |
| 0006233343 | 2018-08-15 | No data | Annual Report | Annual Report | 2014 |
| 0006233352 | 2018-08-15 | No data | Annual Report | Annual Report | 2018 |
| 0006233345 | 2018-08-15 | No data | Annual Report | Annual Report | 2015 |
| 0006233347 | 2018-08-15 | No data | Annual Report | Annual Report | 2016 |
| 0006233336 | 2018-08-15 | No data | Annual Report | Annual Report | 2012 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
