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FRANK J. BUSH , M.D., P.C.

Company Details

Entity Name: FRANK J. BUSH , M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 02 Feb 1995 (Companies founded in February 1995)
Business ALEI: 0507715
Annual report due: 02 Feb 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 27 HILLIARD ST, MANCHESTER, CT, 06042, United States
Mailing address: 27 HILLIARD ST, MANCHESTER, CT, United States, 06042
ZIP code: 06042 (Companies in Hartford, 06042)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: westela@kkc-law.com
E-Mail: PROBERT852@GMAIL.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 061416707 2024-05-16 FRANK J. BUSH, M.D., P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing PAUL ROBERT
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 061416707 2023-05-18 FRANK J. BUSH, M.D., P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2023-05-18
Name of individual signing PAUL ROBERT
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 061416707 2022-05-31 FRANK J. BUSH, M.D., P.C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing PAUL L. ROBERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing PAUL L. ROBERT
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 061416707 2021-05-28 FRANK J. BUSH, M.D., P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2021-05-28
Name of individual signing PAUL L. ROBERT
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 061416707 2020-06-30 FRANK J. BUSH, M.D., P.C. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 061416707 2019-06-12 FRANK J. BUSH, M.D., P.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2019-06-12
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 061416707 2018-06-13 FRANK J. BUSH, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 061416707 2017-07-05 FRANK J. BUSH, M.D., P.C. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 061416707 2016-07-29 FRANK J. BUSH, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature
FRANK J. BUSH, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 061416707 2015-07-29 FRANK J. BUSH, M.D., P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 8606463903
Plan sponsor’s address 27 HILLIARD STREET, MANCHESTER, CT, 06042

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing FRANK BUSH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
PAUL L ROBERT Agent 27 HILLIARD ST, MANCHESTER, CT, 06042, United States 9 EASTWOOD DR, BROAD BROOK, CT, 06016, United States +1 603-903-7612 probert852@gmail.com CT, 9 EASTWOOD DR, BROAD BROOK, CT, 06016, United States

Officer

Name Role Business address Residence address
ROBYN E. PEMBERTON Officer 27 HILLIARD ST, MANCHESTER, CT, 06042, United States 87 MAPLE VALLEY ROAD, BOLTON, CT, 06043, United States
JESSICA BATHEL Officer 27 HILLIARD ST, MANCHESTER, CT, 06042, United States 8 LOSITO LANE, AGAWAM, MA, 01001, United States

Director

Name Role Business address Residence address
ROBYN E. PEMBERTON Director 27 HILLIARD ST, MANCHESTER, CT, 06042, United States 87 MAPLE VALLEY ROAD, BOLTON, CT, 06043, United States
JESSICA BATHEL Director 27 HILLIARD ST, MANCHESTER, CT, 06042, United States 8 LOSITO LANE, AGAWAM, MA, 01001, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012800934 2024-10-23 2024-11-06 Change of Email Address Business Email Address Change No data
BF-0012800486 2024-10-23 2024-11-06 Interim Notice Interim Notice No data
BF-0012361380 2024-01-24 No data Annual Report Annual Report No data
BF-0011254403 2023-01-11 No data Annual Report Annual Report No data
BF-0010213877 2022-01-31 No data Annual Report Annual Report 2022
0007050684 2021-01-04 No data Annual Report Annual Report 2021
0007050654 2021-01-04 No data Annual Report Annual Report 2020
0006755988 2020-02-13 No data Annual Report Annual Report 2019
0006324521 2019-01-17 No data Annual Report Annual Report 2018
0006028297 2018-01-23 No data Annual Report Annual Report 2017

Related by officers

No related officers

Related by address

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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