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  5. FAIRFIELD COUNTY MEDICAL GROUP, P.C.

FAIRFIELD COUNTY MEDICAL GROUP, P.C.

Company Details

Entity Name: FAIRFIELD COUNTY MEDICAL GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 07 Apr 1994
Business ALEI: 0296951
Annual report due: 07 Apr 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, 06611, United States
Mailing address: 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, United States, 06611
ZIP code: 06611
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: steve@fcmedical.net
E-Mail: cathyfisher413@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2023 061394494 2024-04-30 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2022 061394494 2023-03-20 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2023-03-20
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2021 061394494 2022-03-28 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2022-03-27
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2020 061394494 2021-03-24 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2021-03-24
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2019 061394494 2020-05-08 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2018 061394494 2019-04-24 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2017 061394494 2018-01-30 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2018-01-30
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2016 061394494 2017-02-10 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2017-02-09
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2015 061394494 2016-04-21 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2016-04-21
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature
FAIRFIELD COUNTY MEDICAL GROUP, P.C. 401(K) PLAN 2015 061394494 2016-04-25 FAIRFIELD COUNTY MEDICAL GROUP, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-05-01
Business code 621111
Sponsor’s telephone number 2034595100
Plan sponsor’s address MEDICAL ARTS BUILDING, 15 CORPORATE DRIVE - SUITE 2-1, TRUMBULL, CT, 06611

Signature of
Role Plan administrator
Date 2016-04-25
Name of individual signing STEVEN FISHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DAVID M. LEVINE Agent 115 Broad St, Bridgeport, CT, 06604, United States 115 Broad St, Bridgeport, CT, 06604, United States +1 203-521-2088 dlevine@cohenandwolf.com 2675 Park Avenue, #26, Bridgeport, CT, 06604, United States

Officer

Name Role Business address Residence address
STEVEN FISHER M.D. Officer 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, 06611, United States 403 PURDY HILL ROAD, MONROE, CT, 06468, United States
GLENN RICH M.D. Officer 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, 06611, United States 19 CHAPEL HILL DRIVE, TRUMBULL, CT, 06611, United States
MICHAEL CASSETTA D.O. Officer 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, 06611, United States 12 JOHNNY APPLESEED DRIVE, NEWTOWN, CT, 06482, United States
FRANK SPANO M.D. Officer 15 CORPORATE DRIVE SUITE 2-1, TRUMBULL, CT, 06611, United States 80 Kyles Way, Shelton, CT, 06484, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
CSP.0025209 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER ACTIVE CURRENT 1999-03-01 2023-03-01 2025-02-28
1.035977 Physician/Surgeon ACTIVE CURRENT 1997-04-25 2024-07-01 2025-06-30

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012395932 2024-10-30 No data Annual Report Annual Report No data
BF-0011389884 2024-10-30 No data Annual Report Annual Report No data
BF-0012757158 2024-09-05 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
BF-0010588482 2022-06-06 No data Annual Report Annual Report No data
BF-0008115484 2022-04-29 No data Annual Report Annual Report 2014
BF-0008115486 2022-04-29 No data Annual Report Annual Report 2016
BF-0010042325 2022-04-29 No data Annual Report Annual Report No data
BF-0008115491 2022-04-29 No data Annual Report Annual Report 2012
BF-0008115487 2022-04-29 No data Annual Report Annual Report 2013
BF-0008115492 2022-04-29 No data Annual Report Annual Report 2015

Related by officers

DAVID M. LEVINE

B. L. R. REALTY COMPANY THE COHEN AND WOLF, P.C. LILAC REALTY, INC. MAINSAY CORP. COLUMBIA MENTAL HEALTH, LLC 1620-34 BOSTON POST ROAD, LLC 1755 BOSTON POST ROAD, LLC KAP GLOBAL SOLUTIONS, INC. DRUCKER EDUCATIONAL CONSULTING LLC SIX GOOD EGGS, LLC

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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