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MOBILEMED SUPPORT SERVICES LLC

Company Details

Entity Name: MOBILEMED SUPPORT SERVICES LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 05 Aug 1997
Date of dissolution: 21 Oct 2002
Business ALEI: 0568155
Business address: 99 COOPER LANE, STAFFORD SPRINGS, CT, 06076-0525
Mailing address: P.O. BOX 525, STAFFORD SPRINGS, CT, 06076-0525
ZIP code: 06076
County: Tolland
Place of Formation: CONNECTICUT

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILEMED SUPPORT SERVICES, LLC 401(K) PROFIT SHARING PLAN & TRUST 2011 061469625 2012-04-02 MOBILEMED SUPPORT SERVICES, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621399
Sponsor’s telephone number 8606844268
Plan sponsor’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525

Plan administrator’s name and address

Administrator’s EIN 061469625
Plan administrator’s name MOBILEMED SUPPORT SERVICES, LLC
Plan administrator’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525
Administrator’s telephone number 8606844268

Signature of

Role Plan administrator
Date 2012-04-02
Name of individual signing WILLIAM MILLER
Valid signature Filed with authorized/valid electronic signature
MOBILEMED SUPPORT SERVICES, LLC 401(K) PROFIT SHARING PLAN & TRUST 2010 061469625 2011-05-11 MOBILEMED SUPPORT SERVICES, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621399
Sponsor’s telephone number 8606844268
Plan sponsor’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525

Plan administrator’s name and address

Administrator’s EIN 061469625
Plan administrator’s name MOBILEMED SUPPORT SERVICES, LLC
Plan administrator’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525
Administrator’s telephone number 8606844268

Signature of

Role Plan administrator
Date 2011-05-11
Name of individual signing WILLIAM MILLER
Valid signature Filed with authorized/valid electronic signature
MOBILEMED SUPPORT SERVICES, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 061469625 2010-07-18 MOBILEMED SUPPORT SERVICES, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621399
Sponsor’s telephone number 8606844268
Plan sponsor’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525

Plan administrator’s name and address

Administrator’s EIN 061469625
Plan administrator’s name MOBILEMED SUPPORT SERVICES, LLC
Plan administrator’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525
Administrator’s telephone number 8606844268

Signature of

Role Plan administrator
Date 2010-06-28
Name of individual signing WILLIAM MILLER
Valid signature Filed with authorized/valid electronic signature
MOBILEMED SUPPORT SERVICES, LLC 401(K) PROFIT SHARING PLAN & TRUST 2009 061469625 2010-06-28 MOBILEMED SUPPORT SERVICES, LLC 49
Three-digit plan number (PN) 001
Effective date of plan 1994-04-01
Business code 621399
Sponsor’s telephone number 8606844268
Plan sponsor’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525

Plan administrator’s name and address

Administrator’s EIN 061469625
Plan administrator’s name MOBILEMED SUPPORT SERVICES, LLC
Plan administrator’s address P.O. BOX 525, STAFFORD SPRINGS, CT, 060760525
Administrator’s telephone number 8606844268

Signature of

Role Plan administrator
Date 2010-06-28
Name of individual signing WILLIAM MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
JOHN R. FANTRY Agent 99 COOPER LANE, STAFFORD SPRINGS, CT, 06076-0525, United States 36 GARNET DRIVE, TOLLAND, CT, 06084, United States

History

Type Old value New value Date of change
Name change NATIONAL MOBILE MEDICAL TRANSPORT AND MAINTENANCE LLC MOBILEMED SUPPORT SERVICES LLC 1997-08-15

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0002494729 2002-10-21 No data Dissolution Certificate of Dissolution No data
0002315768 2001-08-20 No data Annual Report Annual Report 2001
0002145051 2000-08-07 No data Annual Report Annual Report 2000
0002010869 1999-08-16 No data Annual Report Annual Report 1999
0001868883 1998-07-23 No data Annual Report Annual Report 1998
0001745900 1997-08-15 No data Amendment Amend Name No data
0001741388 1997-08-05 No data Business Formation Certificate of Organization No data

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website