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  5. FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC

FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC

Company Details

Entity Name: FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 08 Sep 1997
Business ALEI: 0570995
Annual report due: 31 Mar 2015
Business address: 20 WEST AVON ROAD, AVON, CT, 06001
ZIP code: 06001
County: Hartford
Place of Formation: CONNECTICUT
E-Mail: drphilde@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2023 472385157 2024-04-24 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2024-04-24
Name of individual signing NATALIA S MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-04-24
Name of individual signing NATALIA S MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2022 472385157 2023-06-28 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2021 472385157 2022-06-22 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing NATALIA S MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing NATALIA S MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2020 472385157 2021-06-17 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-17
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2019 472385157 2020-05-20 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2020-05-20
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-20
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2018 472385157 2019-09-23 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2017 472385157 2018-10-26 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 2624975693
Plan sponsor’s address 20 WEST AVON ROAD, SUITE 102, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2018-10-26
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-26
Name of individual signing NATALIA MENJIVAR
Valid signature Filed with authorized/valid electronic signature
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2016 472385157 2017-06-01 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8606736105
Plan sponsor’s address 20 WEST AVON ROAD, AVON, CT, 06001
FARMINGTON VALLEY ORTHODONTICS 401(K) PLAN 2015 472385157 2016-06-16 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 8606736105
Plan sponsor’s address 20 WEST AVON ROAD, AVON, CT, 06001
FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 061227491 2016-10-14 FARMINGTON VALLEY ORTHODONTIC ASSOCIATES, LLC 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 8606511150
Plan sponsor’s address 88 HEDGEHOG LANE, WEST SIMSBURY, CT, 06092

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing PHILIP DEPASQUALE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing PHILIP DEPASQUALE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
ANDREW C. GLASSMAN Agent C/O PULLMAN & COMLEY, LLC, 90 STATE HOUSE SQUARE, HARTFORD, CT, 06103, United States drphilde@gmail.com 40 PINNACLE MOUNTAIN ROAD, SIMSBURY, CT, 06070, United States

Officer

Name Role Business address Residence address
PHILIP J DEPASQUALE Officer 20 WEST AVON ROAD, AVON, CT, 06001, United States 88 HEDGEHOG LANE, WEST SIMSBURY, CT, 06092, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011699277 2023-02-14 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011058501 2022-11-10 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005229827 2014-12-03 No data Annual Report Annual Report 2014
0005229824 2014-12-03 No data Annual Report Annual Report 2013
0005229822 2014-12-03 No data Annual Report Annual Report 2012
0004616434 2011-09-07 No data Annual Report Annual Report 2011
0004326314 2011-02-24 No data Interim Notice Interim Notice No data
0004272087 2010-09-13 No data Annual Report Annual Report 2010
0004016289 2009-08-27 No data Annual Report Annual Report 2009
0003780210 2008-09-11 No data Annual Report Annual Report 2008

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Related by address

20 WEST AVON ROAD, AVON, CT, 06001

AVON DENTAL REAL ESTATE PARTNERS LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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