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  5. DEBRA R. MILLER, M.D., LLC

DEBRA R. MILLER, M.D., LLC

Company Details

Entity Name: DEBRA R. MILLER, M.D., LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report past due
Date Formed: 17 Sep 1997
Business ALEI: 0571776
Annual report due: 31 Mar 2024
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 53 GRANITE ST SUITE #D, NEW LONDON, CT, 06320, United States
Mailing address: 53 GRANITE STREET SUITE #D, NEW LONDON, CT, United States, 06320
ZIP code: 06320
County: New London
Place of Formation: CONNECTICUT
E-Mail: kkriet@debramillermd.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEBRA R. MILLER, M.D., LLC DEFINED BENEFIT PENSION PLAN 2023 061495057 2024-10-02 DEBRA R. MILLER, M.D., LLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 7 CROSS DRIVE, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC 401(K) PROFIT SHARING PLAN 2023 061495057 2024-06-06 DEBRA R. MILLER, M.D., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC 401(K) PROFIT SHARING PLAN 2022 061495057 2023-10-02 DEBRA R. MILLER, M.D., LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2023-10-02
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC DEFINED BENEFIT PENSION PLAN 2022 061495057 2023-10-13 DEBRA R. MILLER, M.D., LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 7 CROSS DRIVE, WATERFORD, CT, 06385

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC 401(K) PROFIT SHARING PLAN 2021 061495057 2022-10-13 DEBRA R. MILLER, M.D., LLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC DEFINED BENEFIT PENSION PLAN 2021 061495057 2022-10-13 DEBRA R. MILLER, M.D., LLC 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC 401(K) PROFIT SHARING PLAN 2020 061495057 2021-07-29 DEBRA R. MILLER, M.D., LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC DEFINED BENEFIT PENSION PLAN 2020 061495057 2021-07-29 DEBRA R. MILLER, M.D., LLC 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC DEFINED BENEFIT PENSION PLAN 2019 061495057 2020-07-30 DEBRA R. MILLER, M.D., LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature
DEBRA R. MILLER, M.D., LLC 401(K) PROFIT SHARING PLAN 2019 061495057 2020-07-30 DEBRA R. MILLER, M.D., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 8604471419
Plan sponsor’s address 53 GRANITE STREET, SUITE D, NEW LONDON, CT, 06320

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing DEBRA R. MILLER, M.D.
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
DEBRA R MILLER Officer 53 GRANITE ST; SUITE D, NEW LONDON, CT, 06320, United States 7 CROSS DR, WATERFORD, CT, 06385, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DEBRA R. MILLER M.D. Agent 53 GRANITE ST SUITE #D, NEW LONDON, CT, 06320, United States 53 GRANITE ST SUITE #D, NEW LONDON, CT, 06320, United States +1 860-705-2262 kkriet@debramillermd.com 7 CROSS DR, WATERFORD, CT, 06385, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011261874 2023-02-14 No data Annual Report Annual Report No data
BF-0010221119 2022-03-28 No data Annual Report Annual Report 2022
0007333203 2021-05-12 No data Annual Report Annual Report 2021
0006796507 2020-02-28 No data Annual Report Annual Report 2020
0006434262 2019-03-08 No data Annual Report Annual Report 2019
0006001157 2018-01-11 No data Annual Report Annual Report 2018
0005930194 2017-09-19 No data Annual Report Annual Report 2016
0005930207 2017-09-19 No data Annual Report Annual Report 2017
0005648760 2016-09-09 No data Annual Report Annual Report 2015
0005172830 2014-08-27 No data Annual Report Annual Report 2014

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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