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  5. MEDICAL ASSOCIATES OF NORTH HAVEN, LLC

MEDICAL ASSOCIATES OF NORTH HAVEN, LLC

Company Details

Entity Name: MEDICAL ASSOCIATES OF NORTH HAVEN, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 28 Jan 1999
Business ALEI: 0612406
Annual report due: 31 Mar 2022
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 100 BROADWAY, NORTH HAVEN, CT, 06473, United States
Mailing address: 100 BROADWAY, NORTH HAVEN, CT, United States, 06473
ZIP code: 06473
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: medicala@snet.net

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ASSOCIATES OF NORTH HAVEN 2022 061535742 2023-05-03 MEDICAL ASSOCIATES OF NORTH HAVEN 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-03
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2022 061535742 2023-05-03 MEDICAL ASSOCIATES OF NORTH HAVEN 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2023-05-03
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-03
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2021 061535742 2022-10-13 MEDICAL ASSOCIATES OF NORTH HAVEN 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2020 061535742 2021-10-14 MEDICAL ASSOCIATES OF NORTH HAVEN 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2019 061535742 2020-10-13 MEDICAL ASSOCIATES OF NORTH HAVEN 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing IDA SANSONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-07
Name of individual signing ERIC LIBEN MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2018 061535742 2020-06-10 MEDICAL ASSOCIATES OF NORTH HAVEN 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2018 061535742 2019-10-09 MEDICAL ASSOCIATES OF NORTH HAVEN 31
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2017 061535742 2018-07-27 MEDICAL ASSOCIATES OF NORTH HAVEN 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2016 061535742 2017-06-07 MEDICAL ASSOCIATES OF NORTH HAVEN 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing IDA SANSONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing ERIC P. LIBEN MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF NORTH HAVEN 401(K) PLAN 2015 061535742 2016-08-10 MEDICAL ASSOCIATES OF NORTH HAVEN 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 2032341891
Plan sponsor’s address 100 BROADWAY, NORTH HAVEN, CT, 06473

Signature of
Role Plan administrator
Date 2016-08-10
Name of individual signing ERIC P LIBEN MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
ERIC LIBEN M.D. Agent 100 BROADWAY, NORTH HAVEN, CT, 06473, United States 100 BROADWAY, NORTH HAVEN, CT, 06473, United States medicala@snet.net 130 NORTHWOOD COURT, CHESHIRE, CT, 06410, United States

Officer

Name Role Business address Residence address
GIDON GOLDENBERG Officer 100 BROADWAY, NORTH HAVEN, CT, 06473, United States 39A PROSPECT STREET, MILFORD, CT, 06460, United States
ERIC P. LIBEN M.D. Officer MEDICAL ASSOCIATES OF NORTH HAVEN LLC, 100 BROADWAY, NORTH HAVEN, CT, 06473, United States 130 NORTHWOOD COURT, CHESHIRE, CT, 06410, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012689976 2024-07-15 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0012607933 2024-04-12 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0007098203 2021-02-01 No data Annual Report Annual Report 2021
0006766762 2020-02-20 No data Annual Report Annual Report 2020
0006499994 2019-03-27 No data Annual Report Annual Report 2019
0006017796 2018-01-19 No data Annual Report Annual Report 2018
0005738593 2017-01-12 No data Annual Report Annual Report 2017
0005502383 2016-03-04 No data Annual Report Annual Report 2016
0005448389 2015-12-17 No data Annual Report Annual Report 2015
0005253691 2015-01-12 No data Annual Report Annual Report 2014

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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