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  5. DANIEL W. TRACY, III, D.M.D., P.C.

DANIEL W. TRACY, III, D.M.D., P.C.

Company Details

Entity Name: DANIEL W. TRACY, III, D.M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report past due
Date Formed: 11 Dec 1997
Date of dissolution: 31 Dec 2021
Business ALEI: 0577975
Annual report due: 09 Dec 2021
NAICS code: 621210 - Offices of Dentists
Business address: 100 FANNING AVE., NORWICH, CT, 06360, United States
Mailing address: 100 FANNING AVE., NORWICH, CT, United States, 06360
ZIP code: 06360
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: dwt.dmd@att.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2020 061500720 2021-06-30 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2021-06-30
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2019 061500720 2020-06-25 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2020-06-25
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2018 061500720 2019-07-31 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2017 061500720 2018-06-14 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2016 061500720 2017-07-12 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2015 061500720 2016-07-01 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2016-07-01
Name of individual signing DANIEL TRACY
Valid signature Filed with authorized/valid electronic signature
DANIEL W. TRACY III, D.M.D., P.C PROFIT SHARING PLAN 2009 061500720 2010-02-25 DANIEL W. TRACY III, D.M.D., P.C 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 8608924996
Plan sponsor’s address 100 FANNING AVENUE, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061500720
Plan administrator’s name DANIEL W. TRACY III, D.M.D., P.C
Plan administrator’s address 100 FANNING AVENUE, NORWICH, CT, 06360
Administrator’s telephone number 8608924996

Signature of
Role Plan administrator
Date 2010-02-25
Name of individual signing DANIEL W TRACY III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-02-25
Name of individual signing DANIEL W TRACY III
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
RAYMOND L. BARIBEAULT JR. Agent 2 UNION PLAZA, SUITE 200, NEW LONDON, CT, 06320, United States 2 UNION PLAZA, SUITE 200, SUITE 200, NEW LONDON, CT, 06320, United States dwt.dmd@att.net 40 TOWNLINE BLVD., FRANKLIN, CT, 06254, United States

Officer

Name Role Business address Residence address
DANIEL W. TRACY III Officer 100 FANNING AVENUE, NORWICH, CT, 06360, United States 5 OAKRIDGE LANE, BOZRAH, CT, 06334, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0010165077 2021-12-13 2021-12-31 Dissolution Certificate of Dissolution No data
0007018227 2020-11-13 No data Annual Report Annual Report 2020
0006675279 2019-11-08 No data Annual Report Annual Report 2019
0006301377 2018-12-31 No data Annual Report Annual Report 2018
0005970612 2017-11-21 No data Annual Report Annual Report 2017
0005704710 2016-11-28 No data Annual Report Annual Report 2016
0005499154 2016-03-03 No data Annual Report Annual Report 2015
0005221521 2014-11-20 No data Annual Report Annual Report 2014
0004993714 2013-12-06 No data Annual Report Annual Report 2013
0004749138 2012-11-19 No data Annual Report Annual Report 2012

Related by officers

RAYMOND L. BARIBEAULT JR.

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Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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