| Entity Name: | STAMFORD FAMILY PRACTICE, P.C. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 20 Jun 1994 |
| Business ALEI: | 0299457 |
| Mailing address: | 31 STRAWBERRY HILL AVE, STAMFORD, CT, 06902 |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 20000 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STAMFORD FAMILY PRACTICE, P.C. PROFIT SHARING PLAN AND TRUST | 2010 | 061412333 | 2011-09-07 | STAMFORD FAMILY PRACTICE, P.C. | 17 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 061412333 |
| Plan administrator’s name | STAMFORD FAMILY PRACTICE, P.C. |
| Plan administrator’s address | 32 STRAWBERRY HILL CT STE 41096, STAMFORD, CT, 069022777 |
| Administrator’s telephone number | 2039772566 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-07 |
| Name of individual signing | ROD ACOSTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2039772566 |
| Plan sponsor’s address | 32 STRAWBERRY HILL CT STE 41096, STAMFORD, CT, 069022777 |
Plan administrator’s name and address
| Administrator’s EIN | 061412333 |
| Plan administrator’s name | STAMFORD FAMILY PRACTICE, P.C. |
| Plan administrator’s address | 32 STRAWBERRY HILL CT STE 41096, STAMFORD, CT, 069022777 |
| Administrator’s telephone number | 2039772566 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-08 |
| Name of individual signing | ROD ACOSTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ANGELO MALLOZZI M.D. | Agent | 31 STRAWBERRY HILL AVE, STAMFORD, CT, 06902, United States | 52 HEMING WAY, STAMFORD, CT, 06903, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006622832 | 2019-08-13 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0006524578 | 2019-04-06 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0000823942 | 1994-06-20 | No data | Business Formation | Certificate of Incorporation | No data |
| 0000823943 | 1994-06-20 | No data | First Report | Organization and First Report | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
