| Entity Name: | NATIONAL PHYSICIANS DATASOURCE LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 01 Apr 1998 (Companies founded in April 1998) |
| Business ALEI: | 0587937 |
| Annual report due: | 31 Mar 2010 |
| Business address: | 302 WEST MAIN STREET SUITE 206, AVON, CT, 06001 |
| Mailing address: | 669 RIVER DRIVE CENTER 2, ELMWOOD PARK, NJ, 07407 |
| ZIP code: | 06001 (Companies in Hartford, 06001) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NATIONAL PHYSICIANS' DATASOURCE, LLC PROFIT SHARING PLAN | 2009 | 061528565 | 2010-08-12 | NATIONAL PHYSICIANS DATASOURCE, LLC | 4 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 061528565 |
| Plan administrator’s name | NATIONAL PHYSICIANS DATASOURCE, LLC |
| Plan administrator’s address | 302 WEST MAIN STREET, AVON, CT, 06001 |
| Administrator’s telephone number | 2017033416 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-12 |
| Name of individual signing | FRANK FAILLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROSEANN O. STAMPE | Officer | 669 RIVER DRIVE, ELMWOOD PARK, NJ, 07407, United States | 669 RIVER DR., ELMWOOD PARK, NJ, 07407, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | PHYSICIANS INFORMATION PRODUCTS & SERVICES LLC | NATIONAL PHYSICIANS DATASOURCE LLC | 1998-10-22 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0010942690 | 2022-07-28 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| BF-0010571068 | 2022-04-28 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0004483575 | 2011-12-01 | 2011-12-02 | Change of Agent Address | Agent Address Change | No data |
| 0003880675 | 2009-03-06 | No data | Annual Report | Annual Report | 2009 |
| 0003673329 | 2008-04-30 | No data | Annual Report | Annual Report | 2008 |
| 0003445094 | 2007-04-30 | No data | Annual Report | Annual Report | 2007 |
| 0003425011 | 2007-04-02 | 2007-04-02 | Change of Agent Address | Agent Address Change | No data |
| 0003214172 | 2006-05-09 | No data | Annual Report | Annual Report | 2006 |
| 0002998320 | 2005-05-13 | No data | Annual Report | Annual Report | 2005 |
| 0002830253 | 2004-05-18 | No data | Annual Report | Annual Report | 2004 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
