| Entity Name: | XCOLES MEDICAL, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Dissolved |
| Date Formed: | 28 Jun 1995 (Companies founded in June 1995) |
| Date of dissolution: | 31 Dec 2018 |
| Business ALEI: | 0517909 |
| Annual report due: | 26 Jun 2019 |
| Business address: | 40 LOBB LANE, DEEP RIVER, CT, 06417 |
| Mailing address: | PO BOX 205, DEEP RIVER, CT, 06417 |
| ZIP code: | 06417 (Companies in Middlesex, 06417) |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 20000 |
| E-Mail: | pcoles8264@comcast.net |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1JF87 | Obsolete | U.S./Canada Manufacturer | 1998-12-22 | 2024-03-08 | 2022-02-07 | No data | |||||||||||||||
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| POC | KATHY WILLARD |
| Phone | +1 800-862-3394 |
| Fax | +1 860-526-3081 |
| Address | 6 WINTER AVE, DEEP RIVER, CT, 06417, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PCI MEDICAL, INC. PROFIT SHARING PLAN | 2012 | 061428930 | 2013-06-14 | PCI MEDICAL, INC. | 24 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-06-14 |
| Name of individual signing | CLIODHNA COLES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-06-14 |
| Name of individual signing | CLIODHNA COLES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2001-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 8605262862 |
| Plan sponsor’s address | PO BOX 188, DEEP RIVER, CT, 064172104 |
Plan administrator’s name and address
| Administrator’s EIN | 061428930 |
| Plan administrator’s name | PCI MEDICAL, INC. |
| Plan administrator’s address | PO BOX 188, DEEP RIVER, CT, 064172104 |
| Administrator’s telephone number | 8605262862 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-11 |
| Name of individual signing | CLIODHNA COLES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| CLIODHNA COLES | Officer | 40 LOBB LANE, DEEP RIVER, CT, 06417, United States | 40 LOBB LANE, DEEP RIVER, CT, 06417, United States |
| PHILIP COLES | Officer | 40 LOBB LANE, DEEP RIVER, CT, 06417, United States | 40 LOBB LANE, DEEP RIVER, CT, 06417, United States |
| PHILIP R. COLES | Officer | 40 LOBB LANE, DEEP RIVER, CT, 06417, United States | 40 Lobb Rd, Deep River, CT, 06417-2110, United States |
| PETER COLES | Officer | No data | 250 WEST 16TH STREET, 5A, NEW YORK, NY, 10011, United States |
| JARED COLES | Officer | 6 WINTER AVENUE, DEEP RIVER, CT, 06417, United States | 40 LOBB LANE, CT, DEEP RIVER, CT, 06417, United States |
| SAMANTHA GREAVES | Officer | No data | 1652 PURPLE SAGE LANE, CHAPEL HILL, NC, 27516, United States |
| TERESA CONCANNON | Officer | 59 LAUREL RIDGE, PO BOX 209, EAST HAMPTON, CT, 06424, United States | 59 LAUREL RIDGE, EAST HAMPTON, CT, 06424, United States |
| Name | Role | Business address |
|---|---|---|
| ZANGARI COHN CUTHBERTSON P.C. | Agent | 59 ELM STREET, SUITE 400, NEW HAVEN, CT, 06510, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PCI MEDICAL, INC. | XCOLES MEDICAL, INC. | 2016-03-24 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0006284144 | 2018-11-28 | 2018-12-31 | Dissolution | Certificate of Dissolution | No data |
| 0006176782 | 2018-05-04 | No data | Annual Report | Annual Report | 2018 |
| 0005852053 | 2017-05-30 | No data | Annual Report | Annual Report | 2017 |
| 0005583571 | 2016-06-08 | No data | Annual Report | Annual Report | 2016 |
| 0005530810 | 2016-04-07 | No data | Change of Business Address | Business Address Change | No data |
| 0005522560 | 2016-03-24 | 2016-03-24 | Amendment | Amend Name | No data |
| 0005341497 | 2015-06-02 | No data | Annual Report | Annual Report | 2015 |
| 0005126896 | 2014-06-10 | 2014-06-10 | Change of Agent | Agent Change | No data |
| 0005116811 | 2014-06-03 | No data | Annual Report | Annual Report | 2014 |
| 0004866503 | 2013-05-28 | No data | Annual Report | Annual Report | 2013 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
