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CONNECTICUT MEDICAL GROUP, LLC

Company Details

Entity Name: CONNECTICUT MEDICAL GROUP, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 15 Oct 1997
Business ALEI: 0573506
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 9 WASHINGTON AVE, HAMDEN, CT, 06518, United States
Mailing address: 9 WASHINGTON AVE, HAMDEN, CT, United States, 06518
ZIP code: 06518
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: rmangi@ctmedgroup.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2023 061491625 2024-06-27 CONNECTICUT MEDICAL GROUP, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2033906046
Plan sponsor’s address 9 WASHINGTON AVENUE, GARDEN LEVEL, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing MELISSA KALFUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing MELISSA KALFUS
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2022 061491625 2023-06-21 CONNECTICUT MEDICAL GROUP, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2033906046
Plan sponsor’s address 9 WASHINGTON AVENUE, GARDEN LEVEL, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing MELISSA KALFUS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-21
Name of individual signing MELISSA KALFUS
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2021 061491625 2022-10-06 CONNECTICUT MEDICAL GROUP, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2033906046
Plan sponsor’s address 9 WASHINGTON AVENUE, GARDEN LEVEL, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2022-10-06
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2020 061491625 2021-05-20 CONNECTICUT MEDICAL GROUP, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032816811
Plan sponsor’s address 9 WASHINGTON AVENUE, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2021-05-20
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2019 061491625 2020-10-13 CONNECTICUT MEDICAL GROUP, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032483046
Plan sponsor’s address 9 WASHINGTON AVENUE, GARDEN LEVEL, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2018 061491625 2019-06-18 CONNECTICUT MEDICAL GROUP, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032483046
Plan sponsor’s address 9 WASHINGTON AVENUE, GARDEN LEVEL, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2019-06-18
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2017 061491625 2018-07-17 CONNECTICUT MEDICAL GROUP, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032816533
Plan sponsor’s address 9 WASHINGTON AVENUE, 2ND FLOOR, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2018-07-17
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP 401(K) PLAN 2016 061491625 2017-10-06 CONNECTICUT MEDICAL GROUP, LLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032816533
Plan sponsor’s address 9 WASHINGTON AVENUE, 2ND FLOOR, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP, LLC 401(K) PLAN 2015 061491625 2016-08-26 CONNECTICUT MEDICAL GROUP, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032816533
Plan sponsor’s address 9 WASHINGTON AVENUE, 2ND FLOOR, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2016-08-26
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature
CONNECTICUT MEDICAL GROUP, LLC 401(K) PLAN 2014 061491625 2015-10-13 CONNECTICUT MEDICAL GROUP, LLC 60
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 2032816533
Plan sponsor’s address 9 WASHINGTON AVENUE, 2ND FLOOR, HAMDEN, CT, 06518

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing RICHARD MANGI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
RICHARD J. MANGI MD Agent 3018 DIXWELL AVE., HAMDEN, CT, 06518, United States 3018 DIXWELL AVE., HAMDEN, CT, 06518, United States +1 203-281-6311 rmangi@ctmedgroup.com 160 TOKENEKE RD., NORTH HAVEN, CT, 06743, United States

Officer

Name Role Business address Residence address
RICHARD J. MANGI M.D. Officer 9 WASHINGTON AVE, HAMDEN, CT, 06518, United States 5061 RIDGE ROAD, NORTH HAVEN, CT, 06473, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012177865 2024-02-07 No data Annual Report Annual Report No data
BF-0011263248 2023-01-19 No data Annual Report Annual Report No data
BF-0010327849 2022-03-30 No data Annual Report Annual Report 2022
0007128328 2021-02-05 No data Annual Report Annual Report 2020
0007128214 2021-02-05 No data Annual Report Annual Report 2013
0007128270 2021-02-05 No data Annual Report Annual Report 2015
0007128340 2021-02-05 No data Annual Report Annual Report 2021
0007128301 2021-02-05 No data Annual Report Annual Report 2018
0007128321 2021-02-05 No data Annual Report Annual Report 2019
0007128280 2021-02-05 No data Annual Report Annual Report 2016

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website