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  5. JEFFREY W. ANDERSON, DMD, LLC

JEFFREY W. ANDERSON, DMD, LLC

Company Details

Entity Name: JEFFREY W. ANDERSON, DMD, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 17 Dec 1998
Date of dissolution: 06 Mar 2020
Business ALEI: 0608988
Business address: 351 MAIN AVENUE, NORWALK, CT, 06851, United States
Mailing address: 351 MAIN AVENUE, NORWALK, CT, United States, 06851
ZIP code: 06851
County: Fairfield
Place of Formation: CONNECTICUT
E-Mail: dr.janderson15@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANDERSON DENTAL 401K PLAN 2020 061382932 2021-03-08 JEFFREY W. ANDERSON DMD LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 351 MAIN AVENUE, NORWALK, CT, 06851
ANDERSON DENTAL 401K PLAN 2019 061382932 2020-04-15 JEFFREY W. ANDERSON DMD LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 351 MAIN AVENUE, NORWALK, CT, 06851
ANDERSON DENTAL 401K PLAN 2018 061382932 2019-10-08 JEFFREY W. ANDERSON DMD LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 351 MAIN AVENUE, NORWALK, CT, 06851
ANDERSON DENTAL 401K PLAN 2017 061382932 2018-06-05 JEFFREY W. ANDERSON DMD LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 351 MAIN AVENUE, NORWALK, CT, 06851
ANDERSON DENTAL 401K PLAN 2016 061382932 2017-07-27 JEFFREY W. ANDERSON DMD LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 351 MAIN AVENUE, NORWALK, CT, 06851
ANDERSON DENTAL 401(K) PLAN 2015 061382932 2016-04-15 JEFFREY W. ANDERSON, DMD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 315 MAIN AVE, NORWALK, CT, 068511508

Signature of
Role Plan administrator
Date 2016-04-15
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-15
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature
ANDERSON DENTAL 401(K) PLAN 2014 061382932 2015-04-27 JEFFREY W. ANDERSON, DMD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 315 MAIN AVE, NORWALK, CT, 068511508

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-27
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature
ANDERSON DENTAL 401(K) PLAN 2013 061382932 2014-09-30 JEFFREY W. ANDERSON, DMD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-12-15
Business code 621210
Sponsor’s telephone number 2032868668
Plan sponsor’s address 315 MAIN AVE, NORWALK, CT, 068511508

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-30
Name of individual signing JEFFREY ANDERSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
FREDERICK A. THOMAS Agent 4 STAMFORD PLAZA, HARTFORD, CT, 06902, United States 245 SUNNYRIDGE AVENUE, FAIRFIELD, CT, 06430, United States

Officer

Name Role Business address Residence address
JEFFREY W. ANDERSON Officer JEFFREY W. ANDERSON, D.M.D., 351 MAIN AVENUE, NORWALK, CT, 06851, United States 6 LITTLEFIELD DR, OLD LYME, CT, 06371, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006817673 2020-03-06 2020-03-06 Dissolution Certificate of Dissolution No data
0006459289 2019-03-13 No data Annual Report Annual Report 2019
0006348462 2019-01-30 No data Annual Report Annual Report 2018
0006039820 2018-01-29 No data Annual Report Annual Report 2017
0005722781 2016-12-21 No data Annual Report Annual Report 2012
0005722784 2016-12-21 No data Annual Report Annual Report 2013
0005722794 2016-12-21 No data Annual Report Annual Report 2016
0005722791 2016-12-21 No data Annual Report Annual Report 2015
0005722787 2016-12-21 No data Annual Report Annual Report 2014
0004484555 2011-12-14 No data Annual Report Annual Report 2011

Related by officers

FREDERICK A. THOMAS

WOODSTOCK GROUP LIMITED PARTNERSHIP DF REALTY HOLDINGS LIMITED PARTNERSHIP DOOLEY COMMUNICATIONS CORPORATION GEORGE BANTA FAMILY LIMITED PARTNERSHIP JEREMY BANTA FAMILY LIMITED PARTNERSHIP JOHN HOFFMAN FAMILY LIMITED PARTNERSHIP JAMES A. DRAKOS FAMILY LIMITED PARTNERSHIP LCH COMPANY, LLC WHS DEBATE BOOSTERS, INC. DIGITAL BROADCASTING COMPANY, INC.

JEFFREY W. ANDERSON

MMA, INCORPORATED HOWARD H. ANDERSON, INC. AGFA NDT INC.

Related by address

351 MAIN AVENUE, NORWALK, CT, 06851, United States

351 MAIN AVENUE, LLC

351 MAIN AVENUE, NORWALK, CT, United States, 06851

351 MAIN AVENUE, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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