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  5. BRANFORD/NORTH BRANFORD PEDIATRICS, P.C.

BRANFORD/NORTH BRANFORD PEDIATRICS, P.C.

Company Details

Entity Name: BRANFORD/NORTH BRANFORD PEDIATRICS, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report past due
Date Formed: 22 Sep 1995
Date of dissolution: 01 Apr 2022
Business ALEI: 0522581
Annual report due: 21 Sep 2020
Business address: 999 FOXON RD SUITE 36, NORTH BRANFORD, CT, 06471, United States
Mailing address: 999 FOXON RD SUITE 36, NORTH BRANFORD, CT, United States, 06471
ZIP code: 06471
County: New Haven
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: alanna_coughlin@hotmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2019 061437499 2020-11-05 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2020-11-05
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-11-05
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2019 061437499 2020-04-28 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-27
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2018 061437499 2019-06-28 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2019-06-28
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-28
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2017 061437499 2018-09-28 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-28
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2016 061437499 2017-06-08 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2015 061437499 2016-06-14 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-08
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2014 061437499 2015-07-21 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2013 061437499 2014-07-25 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2012 061437499 2013-07-25 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Signature of
Role Plan administrator
Date 2013-07-25
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. SECTION 401(K) PROFIT SHARING PLAN 2011 061437499 2012-10-02 BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-12-31
Business code 621111
Sponsor’s telephone number 2034847334
Plan sponsor’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471

Plan administrator’s name and address
Administrator’s EIN 061437499
Plan administrator’s name BRANFORD/NORTH BRANFORD PEDIATRICS, P.C.
Plan administrator’s address 999 FOXON ROAD, NORTH BRANFORD, CT, 06471
Administrator’s telephone number 2034847334

Signature of
Role Plan administrator
Date 2012-10-02
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-02
Name of individual signing ALANNA COUGHLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
RONALD J. COHEN Agent TYLER, COOPER & ALCORN, 205 CHURCH ST., P.O. BOX 1936, NEW HAVEN, CT, 06509-1910, United States alanna_coughlin@hotmail.com 346 WILLOW ST, NEW HAVEN, CT, 06510, United States

Officer

Name Role Business address Residence address
ALANNA COUGHLIN MD. Officer 999 FOXON ROAD, SUITE 36, NORTH BRANFORD, CT, 06471, United States 72 BLUE HILLS DRIVE, GUILFORD, CT, 06437, United States
ANN MALEY Officer 999 FOXON ROAD, NORTH BRANFORD, CT, 06471, United States 548 ORANGE STREET #106, NEW HAVEN, CT, 06511, United States
JONATHAN HARWIN MD Officer 682 EAST MAIN STREET, BRANFORD, CT, 06405, United States 1 HARBOR ST, BRANFORD, CT, 06405, United States

History

Type Old value New value Date of change
Name change R.E.A.L HEALTH, P.C. BRANFORD/NORTH BRANFORD PEDIATRICS, P.C. 1998-10-13

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010539301 2022-04-01 2022-04-01 Dissolution Certificate of Dissolution No data
0006688271 2019-11-30 No data Annual Report Annual Report 2015
0006688276 2019-11-30 No data Annual Report Annual Report 2019
0006688274 2019-11-30 No data Annual Report Annual Report 2017
0006688272 2019-11-30 No data Annual Report Annual Report 2016
0006688275 2019-11-30 No data Annual Report Annual Report 2018
0005350909 2015-06-17 No data Annual Report Annual Report 2012
0005350918 2015-06-17 No data Annual Report Annual Report 2014
0005350915 2015-06-17 No data Annual Report Annual Report 2013
0004621889 2011-09-16 No data Annual Report Annual Report 2011

Related by officers

RONALD J. COHEN

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Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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