Menu
Search icon

MANSFIELD FAMILY PRACTICE, LLC

Company Details

Entity Name: MANSFIELD FAMILY PRACTICE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 02 Jun 1997 (Companies founded in June 1997)
Business ALEI: 0564050
Annual report due: 31 Mar 2024
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 34 PROFESSIONAL PARK RD., STORRS, CT, 06268, United States
Mailing address: 34 PROFESSIONAL PARK RD., STORRS, CT, United States, 06268
ZIP code: 06268 (Companies in Tolland, 06268)
County: Tolland
Place of Formation: CONNECTICUT
E-Mail: jennifer@mfpstorrs.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2023 060940940 2024-10-03 MANSFIELD FAMILY PRACTICE, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2022 060940940 2023-10-11 MANSFIELD FAMILY PRACTICE, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2021 060940940 2022-08-15 MANSFIELD FAMILY PRACTICE, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2020 060940940 2021-10-15 MANSFIELD FAMILY PRACTICE, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2019 060940940 2020-10-15 MANSFIELD FAMILY PRACTICE, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1890-07-07
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2018 060940940 2019-10-15 MANSFIELD FAMILY PRACTICE, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing ROSS WINAKOR, MD
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2017 060940940 2018-09-28 MANSFIELD FAMILY PRACTICE, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing ROSS WINAKOR
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2015 060940940 2016-10-17 MANSFIELD FAMILY PRACTICE, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address 34 PROFESSIONAL PARK ROAD, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing ROSS WINAKOR
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2014 060940940 2015-05-27 MANSFIELD FAMILY PRACTICE, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address MANSFIELD PROFESSIONAL PARK, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2015-05-27
Name of individual signing ROSS WINAKOR
Valid signature Filed with authorized/valid electronic signature
MANSFIELD FAMILY PRACTICE, LLC SAFE HARBOR 401(K) PLAN 2013 060940940 2014-06-10 MANSFIELD FAMILY PRACTICE, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-07-01
Business code 621111
Sponsor’s telephone number 8604870002
Plan sponsor’s address MANSFIELD PROFESSIONAL PARK, STORRS, CT, 06268

Signature of
Role Plan administrator
Date 2014-06-10
Name of individual signing ROSS WINAKOR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
JACOBS, WALKER, RICE & BARRY, LLC Agent

Officer

Name Role Business address Residence address
AYAZ MADRASWALLA Officer 34 PROFESSIONAL PARK RD, STORRS, CT, 06268, United States 27 GREENFIELD LN, STORRS, CT, 06268, United States
SANDRA M. HUGHES Officer 34 PROFESSIONAL PARK RD, STORRS, CT, 06268, United States 74 WILLINGTON HILL ROAD, WILLINGTON, CT, 06279, United States
KENNETH R. DARDICK Officer 34 PROFESSIONAL PARK RD, STORRS, CT, 06268, United States 1027 MANSFIELD CITY ROAD, STORRS, CT, 06268, United States
ROSS WINAKOR Officer 34 PROFESSIONAL PARK RD, STORRS, CT, 06268, United States 27 SHEFFIELD DRIVE, STORRS, CT, 06268, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011260343 2023-03-20 No data Annual Report Annual Report No data
BF-0010265662 2022-01-11 No data Annual Report Annual Report 2022
0007171238 2021-02-17 No data Annual Report Annual Report 2021
0006878048 2020-04-07 No data Annual Report Annual Report 2020
0006480186 2019-03-20 No data Annual Report Annual Report 2019
0006307313 2019-01-04 No data Annual Report Annual Report 2017
0006307315 2019-01-04 No data Annual Report Annual Report 2018
0005858520 2017-06-06 No data Annual Report Annual Report 2016
0005422861 2015-11-03 No data Annual Report Annual Report 2015
0005117359 2014-06-04 No data Annual Report Annual Report 2014

Related by officers

SANDRA M. HUGHES

MANSFIELD REALTY ASSOCIATES, LLC

KENNETH R. DARDICK

MANSFIELD REALTY ASSOCIATES, LLC CONNECTICUT SAFETY BELT COALITION, INC.

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 connecticutcompanysearch.com