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  5. ASSOCIATES IN INTERNAL MEDICINE, LLC

ASSOCIATES IN INTERNAL MEDICINE, LLC

Company Details

Entity Name: ASSOCIATES IN INTERNAL MEDICINE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 03 Feb 1998
Date of dissolution: 01 Oct 2012
Business ALEI: 0582350
Business address: 965 WHITE PLAINS ROAD, TRUMBULL, CT, 06611
ZIP code: 06611
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: awaltersmd@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASSOCIATES IN INTERNAL MEDICINE, LLC 401K PLAN 2012 061506597 2013-08-26 ASSOCIATES IN INTERNAL MEDICINE, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2032612010
Plan sponsor’s address 12 SANDPIPER CRESCENT, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 061506597
Plan administrator’s name ASSOCIATES IN INTERNAL MEDICINE, LLC
Plan administrator’s address 12 SANDPIPER CRESCENT, MILFORD, CT, 06460
Administrator’s telephone number 2032612010

Signature of
Role Plan administrator
Date 2013-08-26
Name of individual signing ALBERT F. WALTERS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN INTERNAL MEDICINE, LLC 401K PLAN 2012 061506597 2013-06-24 ASSOCIATES IN INTERNAL MEDICINE, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2032612010
Plan sponsor’s address 12 SANDPIPER CRESCENT, MILFORD, CT, 06460

Plan administrator’s name and address
Administrator’s EIN 061506597
Plan administrator’s name ASSOCIATES IN INTERNAL MEDICINE, LLC
Plan administrator’s address 12 SANDPIPER CRESCENT, MILFORD, CT, 06460
Administrator’s telephone number 2032612010

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing ALBERT F. WALTERS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN INTERNAL MEDICINE, LLC 401K PLAN 2011 061506597 2012-09-18 ASSOCIATES IN INTERNAL MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2032612010
Plan sponsor’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502

Plan administrator’s name and address
Administrator’s EIN 061506597
Plan administrator’s name ASSOCIATES IN INTERNAL MEDICINE, LLC
Plan administrator’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502
Administrator’s telephone number 2032612010

Signature of
Role Plan administrator
Date 2012-09-18
Name of individual signing ALBERT F. WALTERS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN INTERNAL MEDICINE, LLC 401K PLAN 2010 061506597 2011-09-08 ASSOCIATES IN INTERNAL MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2032612010
Plan sponsor’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502

Plan administrator’s name and address
Administrator’s EIN 061506597
Plan administrator’s name ASSOCIATES IN INTERNAL MEDICINE, LLC
Plan administrator’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502
Administrator’s telephone number 2032612010

Signature of
Role Plan administrator
Date 2011-09-08
Name of individual signing ALBERT F. WALTERS
Valid signature Filed with authorized/valid electronic signature
ASSOCIATES IN INTERNAL MEDICINE, LLC 401K PLAN 2009 061506597 2010-09-21 ASSOCIATES IN INTERNAL MEDICINE, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2032612010
Plan sponsor’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502

Plan administrator’s name and address
Administrator’s EIN 061506597
Plan administrator’s name ASSOCIATES IN INTERNAL MEDICINE, LLC
Plan administrator’s address 965 WHITE PLAINS RD, TRUMBULL, CT, 066114502
Administrator’s telephone number 2032612010

Signature of
Role Plan administrator
Date 2010-09-21
Name of individual signing ALBERT F. WALTERS
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
ALBERT F. WALTERS Officer 965 WHITE PLAINS RD, TRUMBULL, CT, 06613, United States 12 SANDPIPER CRESCENT, MILFORD, CT, 06460, United States

History

Type Old value New value Date of change
Name change ASSOCIATES IN INTERNAL MEDICINE AND PEDIATRICS, LLC ASSOCIATES IN INTERNAL MEDICINE, LLC 1998-03-09

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0004727372 2012-10-01 No data Dissolution Certificate of Dissolution No data
0004376697 2011-05-17 No data Annual Report Annual Report 2011
0004153926 2010-03-17 No data Annual Report Annual Report 2010
0003876695 2009-03-01 No data Annual Report Annual Report 2009
0003659121 2008-03-05 No data Annual Report Annual Report 2008
0003398587 2007-02-13 No data Annual Report Annual Report 2007
0003171875 2006-02-14 No data Annual Report Annual Report 2006
0002876809 2005-03-01 No data Annual Report Annual Report 2005
0002786670 2004-03-05 No data Annual Report Annual Report 2004
0002690755 2004-02-11 No data Annual Report Annual Report 2003

Related by officers

ALBERT F. WALTERS

ALBERT F. WALTERS IRA, LLC ALWALTERSMD, LLC

Related by address

965 WHITE PLAINS ROAD, TRUMBULL, CT, 06611

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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