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  5. PULMONARY PHYSICIANS OF NORWICH, P.C.

PULMONARY PHYSICIANS OF NORWICH, P.C.

Company Details

Entity Name: PULMONARY PHYSICIANS OF NORWICH, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 18 Feb 1998
Business ALEI: 0583305
Annual report due: 18 Feb 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 79 Wawecus St, Norwich, CT, 06360, United States
Mailing address: 79 Wawecus St, Suite 103, Norwich, CT, United States, 06360
ZIP code: 06360
County: New London
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: dgauthier@goldblattbokoff.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2022 061468338 2024-07-15 PULMONARY PHYSICIANS OF NORWICH, P.C. 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 79 WAWECUS SUITE 103, NORWICH, CT, 06360

Signature of
Role Plan administrator
Date 2024-07-15
Name of individual signing ATUL PALKAR
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2021 061468338 2023-07-14 PULMONARY PHYSICIANS OF NORWICH, P.C. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing DONNA ROMITO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2020 061468338 2022-09-27 PULMONARY PHYSICIANS OF NORWICH, P.C. 43
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing DONNA ROMITO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2019 061468338 2021-01-18 PULMONARY PHYSICIANS OF NORWICH, P.C. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2021-01-18
Name of individual signing DONNA ROMITO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2018 061468338 2019-12-15 PULMONARY PHYSICIANS OF NORWICH, P.C. 47
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2019-12-15
Name of individual signing DONNA ROMITO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2017 061468338 2019-03-29 PULMONARY PHYSICIANS OF NORWICH, P.C. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing DONNA ROMITO
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2016 061468338 2018-07-13 PULMONARY PHYSICIANS OF NORWICH, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2015 061468338 2017-03-01 PULMONARY PHYSICIANS OF NORWICH, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2017-03-01
Name of individual signing STEVEN L. POWELL
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2014 061468338 2016-05-12 PULMONARY PHYSICIANS OF NORWICH, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing STEVEN L. POWELL
Valid signature Filed with authorized/valid electronic signature
PULMONARY PHYSICIANS OF NORWICH, P.C. 401(K) PROFIT SHARING PLAN 2013 061468338 2015-03-27 PULMONARY PHYSICIANS OF NORWICH, P.C. 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-10-01
Business code 621111
Sponsor’s telephone number 8608861862
Plan sponsor’s address 330 WASHINGTON STREET, NORWICH, CT, 06360

Plan administrator’s name and address
Administrator’s EIN 061468338
Plan administrator’s name PULMONARY PHYSICIANS OF NORWICH, P.C.
Plan administrator’s address 330 WASHINGTON STREET, NORWICH, CT, 06360
Administrator’s telephone number 8608861862

Signature of
Role Plan administrator
Date 2015-03-27
Name of individual signing STEVEN L. POWELL
Valid signature Filed with authorized/valid electronic signature

Officer

Name Role Business address Residence address
THINESH DAHANAYAKE Officer 79 Wawecus St, Suite 103, Norwich, CT, 06360, United States 35 OVERSHOT LANE, S. GLASTONBURY, CT, 06073, United States
ATUL V PALKAR Officer 79 Wawecus St, Suite 103, Norwich, CT, 06360, United States 35 FROSTPANE LANE, HOPKINTON, MA, 01748, United States
JOSE ANGELO DE DIOS Officer 79 Wawecus St, Suite 103, Norwich, CT, 06360, United States 81 WENDELL LANE, GLASTONBURY, CT, 06033, United States
PRIYA BAKAYA Officer 79 Wawecus St, Suite 103, Norwich, CT, 06360, United States 89 DRUMLIN ROAD, SOUTH GLASTONBURY, CT, 06360, United States
ANKIT GUPTA Officer 79 Wawecus St, Suite 103, Norwich, CT, 06360, United States 27 Bradley Way, Glastonbury, CT, 06033, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
P. MICHAEL LAHAN Agent 22 COURTHOUSE SQUARE, NORWICH, CT, 06360, United States 22 COURTHOUSE SQUARE, NORWICH, CT, 06360, United States +1 860-886-0011 dgauthier@goldblattbokoff.com 4 Gregory Place, Old Saybrook, CT, 06475, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011264518 2024-04-05 No data Annual Report Annual Report No data
BF-0012181238 2024-04-05 No data Annual Report Annual Report No data
BF-0010406062 2022-02-16 No data Annual Report Annual Report 2022
0007226180 2021-03-12 No data Annual Report Annual Report 2021
0006726988 2020-01-18 No data Annual Report Annual Report 2020
0006319328 2019-01-14 No data Annual Report Annual Report 2019
0006171093 2018-04-27 No data Annual Report Annual Report 2018
0005968073 2017-11-17 No data Interim Notice Interim Notice No data
0005764155 2017-02-08 No data Annual Report Annual Report 2017
0005486638 2016-02-12 No data Annual Report Annual Report 2016

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P. MICHAEL LAHAN

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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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