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  5. MIDDLESEX DENTAL CARE, LLC

MIDDLESEX DENTAL CARE, LLC

Company Details

Entity Name: MIDDLESEX DENTAL CARE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 08 Jan 1998
Date of dissolution: 09 Jun 2021
Business ALEI: 0580162
NAICS code: 621210 - Offices of Dentists
Business address: 410 SAYBROOK ROAD #202, MIDDLETOWN, CT, 06457, United States
Mailing address: 410 SAYBROOK ROAD #202, MIDDLETOWN, CT, United States, 06457
ZIP code: 06457
County: Middlesex
Place of Formation: CONNECTICUT
E-Mail: drkdcross@comcast.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2021 743261042 2022-04-28 MIDDLESEX DENTAL CARE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463443
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 202, MIDDLETOWN, CT, 06457
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2020 743261042 2021-10-08 MIDDLESEX DENTAL CARE, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463443
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 202, MIDDLETOWN, CT, 06457
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2019 743261042 2020-08-28 MIDDLESEX DENTAL CARE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463443
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 202, MIDDLETOWN, CT, 06457
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2018 743261042 2019-10-02 MIDDLESEX DENTAL CARE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463443
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 202, MIDDLETOWN, CT, 06457
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2017 743261042 2018-10-09 MIDDLESEX DENTAL CARE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463443
Plan sponsor’s address 410 SAYBROOK ROAD, SUITE 202, MIDDLETOWN, CT, 06457
MIDDLESEX DENTAL CARE LLC 401(K) PLAN 2016 743261042 2017-05-21 MIDDLESEX DENTAL CARE LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603463442
Plan sponsor’s address 410 SAYBROOK RD, MIDDLETOWN, CT, 06457

Signature of
Role Plan administrator
Date 2017-05-21
Name of individual signing KEVIN CROSS
Valid signature Filed with authorized/valid electronic signature
HIGGANUM DENTAL ASSOCIATES 401(K) PLAN 2012 061267960 2013-06-12 HIGGANUM DENTAL ASSOCIATES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603454538
Plan sponsor’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441

Signature of
Role Plan administrator
Date 2013-06-12
Name of individual signing C M SOULIAS
Valid signature Filed with authorized/valid electronic signature
HIGGANUM DENTAL ASSOCIATES 401(K) PLAN 2011 061267960 2012-05-26 HIGGANUM DENTAL ASSOCIATES, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603454538
Plan sponsor’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441

Plan administrator’s name and address
Administrator’s EIN 061267960
Plan administrator’s name HIGGANUM DENTAL ASSOCIATES, LLC
Plan administrator’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441
Administrator’s telephone number 8603454538

Signature of
Role Plan administrator
Date 2012-05-26
Name of individual signing C M SOULIAS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-26
Name of individual signing C M SOULIAS
Valid signature Filed with authorized/valid electronic signature
HIGGANUM DENTAL ASSOCIATES 401(K) PLAN 2010 061267960 2011-07-07 HIGGANUM DENTAL ASSOCIATES, LLC 17
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603454538
Plan sponsor’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441

Plan administrator’s name and address
Administrator’s EIN 061267960
Plan administrator’s name HIGGANUM DENTAL ASSOCIATES, LLC
Plan administrator’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441
Administrator’s telephone number 8603454538

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing CHRISTOPHER SOULIAS
Valid signature Filed with incorrect/unrecognized electronic signature
HIGGANUM DENTAL ASSOCIATES 401(K) PLAN 2010 061267960 2011-07-07 HIGGANUM DENTAL ASSOCIATES, LLC 17
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 8603454538
Plan sponsor’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441

Plan administrator’s name and address
Administrator’s EIN 061267960
Plan administrator’s name HIGGANUM DENTAL ASSOCIATES, LLC
Plan administrator’s address 415 KILLINGWORTH RD, PO BOX 335, HIGGANUM, CT, 06441
Administrator’s telephone number 8603454538

Agent

Name Role Business address Mailing address E-Mail Residence address
WILLIAM R. BOWLES Agent 415 KILLINGWORTH ROAD, HIGGANUM, CT, 06441, United States 415 KILLINGWORTH ROAD, HIGGANUM, CT, 06441, United States drkdcross@comcast.net 171 THAYER ROAD, HIGGANUM, CT, 06441, United States

Officer

Name Role Business address Residence address
KEVIN D. CROSS Officer 410 SAYBROOK ROAD, #202, MIDDLETOWN, CT, 06457, United States 5 PEAR ORCHARD ROAD, PORTLAND, CT, 06480, United States

History

Type Old value New value Date of change
Name change HIGGANUM DENTAL ASSOCIATES, LLC MIDDLESEX DENTAL CARE, LLC 2015-02-05

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0007364736 2021-06-09 2021-06-09 Dissolution Certificate of Dissolution No data
0006876124 2020-04-06 No data Annual Report Annual Report 2020
0006568403 2019-06-03 No data Annual Report Annual Report 2019
0006568400 2019-06-03 No data Annual Report Annual Report 2018
0005767010 2017-02-13 No data Annual Report Annual Report 2017
0005683565 2016-10-31 No data Annual Report Annual Report 2016
0005683562 2016-10-31 No data Annual Report Annual Report 2015
0005674295 2016-09-26 2016-09-26 Change of Agent Agent Change No data
0005674286 2016-09-26 2016-09-26 Change of Business Address Business Address Change No data
0005285094 2015-02-05 No data Amendment Amend Name No data

Related by officers

WILLIAM R. BOWLES

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KEVIN D. CROSS

K.D.L.S.C., LLC

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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