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EAR, NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC

Company Details

Entity Name: EAR, NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Date Formed: 29 Dec 1998 (Companies founded in December 1998)
Business ALEI: 0610012
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 31 BROADWAY, NORTH HAVEN, CT, 06473, United States
Mailing address: 31 BROADWAY, NORTH HAVEN, CT, United States, 06473
ZIP code: 06473 (Companies in New Haven, 06473)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: jimswallach@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2023 061310539 2024-10-06 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2024-10-07
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2022 061310539 2023-10-13 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2021 061310539 2022-10-16 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2022-10-16
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2020 061310539 2021-07-18 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2021-07-18
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2019 061310539 2020-10-15 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2018 061310539 2019-06-24 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2019-06-24
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2017 061310539 2018-10-08 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2016 061310539 2017-10-11 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature
EAR NOSE &THROAT MEDICAL AND SURGICAL GROUP, LLC SECTION 401(K) PROFIT SHARING PLAN 2015 061310539 2016-10-17 EAR NOSE & THROAT MEDICAL AND SURGICAL GROUP, LLC 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 621111
Sponsor’s telephone number 2032341324
Plan sponsor’s address 31 BROADWAY, NORTH HAVEN, CT, 06473

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing THOMAS TAKOUDES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MICHELE M. VOLPE Agent 105 COURT STREET, 3RD FLOOR, NEW HAVEN, CT, 06511, United States 105 COURT STREET, 3RD FLOOR, NEW HAVEN, CT, 06511, United States +1 203-234-1324 jimswallach@gmail.com 37 BOSTON POST RD., MADISON, CT, 06443, United States

Officer

Name Role Business address Residence address
PAUL W. ALBERTI M.D. Officer 31 BROADWAY, NORTH HAVEN, CT, 06473, United States 5 SAGAMORE COVE ROAD, BRANFORD, CT, 06405, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012270374 2024-01-18 No data Annual Report Annual Report No data
BF-0011155461 2023-01-19 No data Annual Report Annual Report No data
BF-0010292029 2022-03-23 No data Annual Report Annual Report 2022
0007150814 2021-02-15 No data Annual Report Annual Report 2021
0006820572 2020-03-09 No data Annual Report Annual Report 2020
0006352009 2019-01-31 No data Annual Report Annual Report 2018
0006352020 2019-01-31 No data Annual Report Annual Report 2019
0006007324 2018-01-15 No data Annual Report Annual Report 2017
0005708603 2016-11-30 No data Annual Report Annual Report 2016
0005506044 2016-03-07 No data Annual Report Annual Report 2015

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website