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DIANE L. FOUNTAS, M.D., LLC.

Company Details

Entity Name: DIANE L. FOUNTAS, M.D., LLC.
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 01 Oct 1997
Date of dissolution: 17 Mar 2021
Business ALEI: 0572886
Business address: 1389 W MAIN ST SUITE 325 SUITE 325, WATERBURTY, CT, 06708
Mailing address: 1389 WEST MAIN ST SUITE 325, WATERBURY, CT, 06708
ZIP code: 06708
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: dfountas@charter.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2015 800264317 2016-09-21 DIANE L. FOUNTAS, M.D. LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 WEST MAIN STREET SUITE 325, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2015 800264317 2016-09-21 DIANE L. FOUNTAS, M.D. LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2016-09-21
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2014 800264317 2015-10-03 DIANE L FOUNTAS, M.D. LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2015-10-03
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2013 800264317 2014-05-23 DIANE L. FOUNTAS, M.D. LLC 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2014-05-23
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2012 800264317 2013-07-17 DIANE L FOUNTAS, M.D. LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2011 800264317 2012-10-12 DIANE L FOUNTAS, M.D. LLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 800264317
Plan administrator’s name DIANE L FOUNTAS, M.D. LLC
Plan administrator’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708
Administrator’s telephone number 2037536776

Signature of

Role Plan administrator
Date 2012-10-12
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2010 800264317 2011-07-19 DIANE L FOUNTAS, M.D. LLC 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 800264317
Plan administrator’s name DIANE L FOUNTAS, M.D. LLC
Plan administrator’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708
Administrator’s telephone number 2037536776

Signature of

Role Plan administrator
Date 2011-07-19
Name of individual signing DIANE L. FOUNTAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing DIANE L. FOUNTAS
Valid signature Filed with authorized/valid electronic signature
DIANE L. FOUNTAS, M.D. PROFIT SHARING PLAN 2009 800264317 2010-07-26 DIANE L. FOUNTAS, M.D. LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2037536776
Plan sponsor’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN 800264317
Plan administrator’s name DIANE L. FOUNTAS, M.D. LLC
Plan administrator’s address 1389 W MAIN ST SUITE 325, WATERBURY, CT, 06708
Administrator’s telephone number 2037536776

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing DIANE FOUNTAS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address E-Mail Residence address
C. ROBERT ZELINGER Agent C/O GAGER & PETERSON, LLP, ONE EXCHANGE PLACE, P.O. BOX 2480, WATERBURY, CT, 06722-2480, United States dfountas@charter.net 21 BATH CRESCENT LANE, BLOOMFIELD, CT, 06002, United States

Officer

Name Role Business address Residence address
DIANE LOUISE FOUNTAS Officer 1389 WEST MAIN ST, SUITE 325, WATERBURY, CT, 06708, United States 201 WHITE DEER ROCKS RD, WOODBURY, CT, 06798, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007237759 2021-03-17 2021-03-17 Dissolution Certificate of Dissolution No data
0005666190 2016-10-05 No data Annual Report Annual Report 2015
0005193448 2014-10-01 No data Annual Report Annual Report 2014
0004952442 2013-09-28 No data Annual Report Annual Report 2013
0004894210 2013-07-12 No data Annual Report Annual Report 2012
0004627714 2011-09-28 No data Annual Report Annual Report 2011
0004286705 2010-09-29 No data Annual Report Annual Report 2010
0004048076 2009-11-04 No data Annual Report Annual Report 2009
0003788076 2008-10-02 No data Annual Report Annual Report 2008
0003554968 2007-10-15 No data Annual Report Annual Report 2007

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website