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KIMBERLY ANN LUCEY, M.D., P.C.

Company Details

Entity Name: KIMBERLY ANN LUCEY, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 23 Aug 1996
Date of dissolution: 01 Aug 2024
Business ALEI: 0542842
Annual report due: 23 Aug 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 1699 King St Ste 102, Enfield, CT, 06082-6052, United States
Mailing address: 1699 King St Ste 102, Enfield, CT, United States, 06082-6052
ZIP code: 06082
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 1000
E-Mail: jskl2@cox.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2023 061461777 2024-06-17 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 1699 KING STREET, SUIT 102, ENFIELD, CT, 060826052
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2022 061461777 2023-04-20 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 1699 KING STREET, SUIT 102, ENFIELD, CT, 060826052
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2021 061461777 2022-03-02 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 1699 KING STREET, SUIT 102, ENFIELD, CT, 060826052
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2020 061461777 2021-04-20 KIMBERLY ANN LUCEY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2019 061461777 2020-04-23 KIMBERLY ANN LUCEY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2018 061461777 2019-07-22 KIMBERLY ANN LUCEY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2017 061461777 2018-08-15 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2016 061461777 2017-03-30 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2015 061461777 2016-05-17 KIMBERLY ANN LUCEY, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082
KIMBERLY ANN LUCEY, M.D., P.C. 401K PLAN 2014 061461777 2015-04-01 KIMBERLY ANN LUCEY, M.D., P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 8607496485
Plan sponsor’s address 47 PALOMBA DRIVE, SUITE 201, ENFIELD, CT, 06082

Signature of

Role Plan administrator
Date 2015-04-01
Name of individual signing KIMBERLY A LUCEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
Kimberly Lucey Agent 1699 King St Ste 102, Enfield, CT, 06082-6052, United States 1699 King St Ste 102, Enfield, CT, 06082-6052, United States +1 860-989-6599 jskl2@cox.net 161 Great Pond Rd, South Glastonbury, CT, 06073-3105, United States

Officer

Name Role Business address Residence address
JAMES SCHOENADEL Officer 1699 KING STREET, SUITE 102, ENFIELD, CT, 06082, United States 161 GREAT POND ROAD, SOUTH GLASTONBURY, CT, 06073, United States
KIMBERLY LUCEY Officer 1699 KING STREET SUITE 102, ENFIELD, CT, 06082, United States 161 GREAT POND ROAD, SOUTH. GLASTONBURY, CT, 06073, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
OSP.001642 Optical Selling Permit INACTIVE LAPSED DUE TO NON-RENEWAL 2002-04-09 2005-06-14 2006-08-31

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012738822 2024-08-23 No data Annual Report Annual Report No data
BF-0012728154 2024-08-14 No data Revocation of dissolution Revocation of Dissolution No data
BF-0012702549 2024-07-24 2024-08-01 Dissolution Certificate of Dissolution No data
BF-0011256500 2023-08-03 No data Annual Report Annual Report No data
BF-0010389265 2022-08-08 No data Annual Report Annual Report 2022
BF-0009809282 2021-09-07 No data Annual Report Annual Report No data
0006952491 2020-07-24 No data Annual Report Annual Report 2020
0006652728 2019-10-01 No data Change of Business Address Business Address Change No data
0006596757 2019-07-15 No data Annual Report Annual Report 2019
0006218758 2018-07-19 No data Annual Report Annual Report 2017

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website