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MARIANNE M. URBANSKI, DMD, LLC

Company Details

Entity Name: MARIANNE M. URBANSKI, DMD, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Dissolved
Date Formed: 04 Jan 1999 (Companies founded in January 1999)
Date of dissolution: 31 Dec 2016
Business ALEI: 0610284
Business address: 546 SOUTH BROAD ST. SUITE 3A, MERIDEN, CT, 06450
Mailing address: 546 SOUTH BROAD ST SUITE 3A, MERIDEN, CT, 06450
ZIP code: 06450 (Companies in New Haven, 06450)
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: docfloss@docfloss.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARIANNE M. URBANSKI DMD., LLC SECTION 401K PS PLAN 2016 061534387 2017-07-06 MARIANNE M. URBANSKI, DMD., LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2035300332
Plan sponsor’s DBA name 1960
Plan sponsor’s address 34 SMITH CT, GROTON, CT, 063405739

Signature of
Role Plan administrator
Date 2017-07-06
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-06
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
MARIANNE M. URBANSKI, DMD, LLC SECTION 401(K) 2013 061534387 2014-08-26 MARIANNE M. URBANSKI, DMD, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2036301312
Plan sponsor’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-26
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
MARIANNE M. URBANSKI, DMD, LLC SECTION 401(K) 2012 061534387 2013-04-18 MARIANNE M. URBANSKI, DMD, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2036301312
Plan sponsor’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450

Signature of
Role Plan administrator
Date 2013-04-18
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-18
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
MARIANNE M. URBANSKI, DMD, LLC SECTION 401(K) PS PLAN 2011 061534387 2012-05-01 MARIANNE M. URBANSKI, DMD, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2036301312
Plan sponsor’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450

Plan administrator’s name and address
Administrator’s EIN 061534387
Plan administrator’s name MARIANNE M. URBANSKI, DMD, LLC
Plan administrator’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450
Administrator’s telephone number 2036301312

Signature of
Role Plan administrator
Date 2012-05-01
Name of individual signing MARIANNE M. URBANSKI
Valid signature Filed with authorized/valid electronic signature
MARIANNE M. URBANSKI, DMD, LLC SECTION 401(K) PS PLAN 2010 061534387 2011-05-06 MARIANNE M. URBANSKI, DMD, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2036301312
Plan sponsor’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450

Plan administrator’s name and address
Administrator’s EIN 061534387
Plan administrator’s name MARIANNE M. URBANSKI, DMD, LLC
Plan administrator’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450
Administrator’s telephone number 2036301312

Signature of
Role Plan administrator
Date 2011-05-06
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature
MARIANNE M. URBANSKI, DMD, LLC SECTION 401(K) PS PLAN 2009 061534387 2010-06-24 MARIANNE M. URBANSKI, DMD, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621210
Sponsor’s telephone number 2036301312
Plan sponsor’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450

Plan administrator’s name and address
Administrator’s EIN 061534387
Plan administrator’s name MARIANNE M. URBANSKI, DMD, LLC
Plan administrator’s address 546 S. BROAD STREET, SUITE 3A, MERIDEN, CT, 06450
Administrator’s telephone number 2036301312

Signature of
Role Plan administrator
Date 2010-06-23
Name of individual signing MARIANNE URBANSKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
MARIANNE M. URBANSKI Agent 546 SOUTH BROAD ST., SUITE 3A, MERIDEN, CT, 06450, United States 265 OREGON RD., CHESHIRE, CT, 06410-1827, United States

Officer

Name Role Residence address
MARIANNE M. URBANSKI Officer 265 OREGON RD., CHESHIRE, CT, 06410-1827, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005723340 2016-12-21 2016-12-31 Dissolution Certificate of Dissolution No data
0005251947 2015-01-08 No data Annual Report Annual Report 2015
0005059399 2014-03-11 No data Annual Report Annual Report 2014
0005059132 2014-03-11 No data Annual Report Annual Report 2013
0004498463 2012-01-06 No data Annual Report Annual Report 2012
0004498458 2012-01-06 No data Annual Report Annual Report 2011
0004306123 2011-01-13 No data Annual Report Annual Report 2010
0003872611 2009-01-27 No data Annual Report Annual Report 2009
0003643541 2008-02-11 No data Annual Report Annual Report 2008
0003399729 2007-02-16 No data Annual Report Annual Report 2007

Related by officers

No related officers

Related by address

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Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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