CLOVERLEAF DENTAL CENTER, LLC

Company Details

Entity Name:	CLOVERLEAF DENTAL CENTER, LLC
Jurisdiction:	Connecticut
Legal type:	LLC
Citizenship:	Domestic
Status:	Active
Sub status:	Annual report due
Date Formed:	06 Oct 1998 (Companies founded in October 1998)
Business ALEI:	0603928
Annual report due:	31 Mar 2025
NAICS code:	621210 - Offices of Dentists
Business address:	1064 EAST MAIN STREET SUITE 102, MERIDEN, CT, 06450, United States
Mailing address:	1064 EAST MAIN ST SUITE 102, MERIDEN, CT, United States, 06450
ZIP code:	06450 (Companies in New Haven, 06450)
County:	New Haven
Place of Formation:	CONNECTICUT
E-Mail:	cleafdent@gmail.com

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2023

061527216

2024-07-24

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2022

061527216

2023-07-12

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2021

061527216

2022-08-03

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2020

061527216

2021-07-26

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2019

061527216

2020-07-15

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2018

061527216

2019-07-02

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2017

061527216

2018-10-03

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC CASH BALANCE PLAN

2017

061527216

2018-01-16

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2006-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

Signature of

Role	Plan administrator
Date	2018-01-16
Name of individual signing	SHEILA POETTI
Valid signature	Filed with authorized/valid electronic signature

CLOVERLEAF DENTAL CENTER, LLC 401(K) PLAN

2016

061527216

2017-09-26

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

CLOVERLEAF DENTAL CENTER, LLC CASH BALANCE PLAN

2016

061527216

2017-09-13

CLOVERLEAF DENTAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2006-01-01
Business code	621210
Sponsor’s telephone number	2036348727
Plan sponsor’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450

Plan administrator’s name and address

Administrator’s EIN	061527216
Plan administrator’s name	CLOVERLEAF DENTAL CENTER, LLC
Plan administrator’s address	1064 EAST MAIN STREET, #102, MERIDEN, CT, 06450
Administrator’s telephone number	2036348727

Signature of

Role	Plan administrator
Date	2017-09-13
Name of individual signing	SHEILA POETTI
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Business address	Mailing address	Phone	E-Mail	Residence address
SHEILA H POETTI	Agent	1064 EAST MAIN STREET, SUITE 102, MERIDEN, CT, 06450, United States	1064 EAST MAIN STREET, SUITE 102, MERIDEN, CT, 06450, United States	+1 203-550-7250	cleafdent@gmail.com	51 SADDLE HILL DRIVE, MIDDLETOWN, CT, 06457, United States

Officer

Name	Role	Business address	Residence address
SHEILA POETTI	Officer	1064 E. MAIN STREET, SUITE 102, CLOVERLEAF BUILDING, MERIDEN, CT, 06450, United States	51 SADDLE HILL ROAD, MIDDLETOWN, CT, 06457, United States

Filing

Filing number	Filing date	Effective date	Filing category	Filing type	Report year
BF-0012156803	2024-03-12	No data	Annual Report	Annual Report	No data
BF-0011151475	2023-01-16	No data	Annual Report	Annual Report	No data
BF-0010373021	2022-03-12	No data	Annual Report	Annual Report	2022
0007351557	2021-05-25	No data	Annual Report	Annual Report	2021
0006785980	2020-02-26	No data	Annual Report	Annual Report	2020
0006372988	2019-02-08	No data	Annual Report	Annual Report	2019
0006307428	2019-01-04	No data	Annual Report	Annual Report	2018
0006001357	2018-01-11	No data	Annual Report	Annual Report	2017
0005828813	2017-03-30	2017-03-30	Change of Agent	Agent Change	No data
0005801644	2017-03-27	No data	Annual Report	Annual Report	2016
0005475749	2016-01-15	2016-01-15	Interim Notice	Interim Notice	No data
0005438314	2015-12-01	No data	Annual Report	Annual Report	2012
0005438317	2015-12-01	No data	Annual Report	Annual Report	2014
0005438316	2015-12-01	No data	Annual Report	Annual Report	2013
0005438321	2015-12-01	No data	Annual Report	Annual Report	2015
0004641484	2011-10-21	No data	Annual Report	Annual Report	2011
0004351504	2010-12-09	No data	Annual Report	Annual Report	2010
0004053402	2009-11-09	No data	Annual Report	Annual Report	2009
0003793308	2008-10-06	No data	Annual Report	Annual Report	2008
0003740398	2008-07-28	No data	Change of Agent Address	Agent Address Change	No data

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

CLOVERLEAF DENTAL CENTER, LLC

Company Details

form 5500

Agent

Officer

Filing

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