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COLLINS MEDICAL ASSOCIATES 2, P.C.

Company Details

Entity Name: COLLINS MEDICAL ASSOCIATES 2, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Active
Date Formed: 22 Feb 1999 (Companies founded in February 1999)
Business ALEI: 0614429
Annual report due: 22 Feb 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 95 WOODLAND ST., 1ST FL., HARTFORD, CT, 06105, United States
Mailing address: 95 WOODLAND ST., 1ST FL., HARTFORD, CT, United States, 06105
ZIP code: 06105 (Companies in Hartford, 06105)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 13200
E-Mail: slink@collins2.com

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MBDTTR3V6H66 2022-02-25 95 WOODLAND ST STE 1A, HARTFORD, CT, 06105, 1230, USA 95 WOODLAND ST, 1ST FLOOR, HARTFORD, CT, 06105, USA

Business Information

Doing Business As COLLINS MEDICAL ASSOCIATES
URL collinsmedicaldoctors.com
Division Name COLLINS MEDICAL ASSOCIATES 2 PC
Division Number COLLINS ME
Congressional District 01
State/Country of Incorporation CT, USA
Activation Date 2021-03-18
Initial Registration Date 2021-02-25
Entity Start Date 1999-06-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ROSANNE C URICCHIO
Address 95 WOODLAND ST, 1ST FLOOR, HARTFORD, CT, 06105, USA
Government Business
Title PRIMARY POC
Name ROSANNE C URICCHIO
Address 95 WOODLAND ST, 1ST FLOOR, HARTFORD, CT, 06105, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2023 061539549 2024-07-18 COLLINS MEDICAL ASSOCIATES 2, P.C. 116
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 103

Signature of

Role Plan administrator
Date 2024-07-17
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-17
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2022 061539549 2023-07-25 COLLINS MEDICAL ASSOCIATES 2, P.C. 121
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 116

Signature of

Role Plan administrator
Date 2023-07-25
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-25
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2021 061539549 2022-07-25 COLLINS MEDICAL ASSOCIATES 2, P.C. 130
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 121

Signature of

Role Plan administrator
Date 2022-07-15
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2020 061539549 2021-07-27 COLLINS MEDICAL ASSOCIATES 2, P.C. 137
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 130

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-27
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2019 061539549 2020-07-22 COLLINS MEDICAL ASSOCIATES 2, P.C. 135
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 137

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-22
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2018 061539549 2019-07-16 COLLINS MEDICAL ASSOCIATES 2, P.C. 107
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND ST, HARTFORD, CT, 061051230
Plan sponsor’s address 95 WOODLAND ST, HARTFORD, CT, 061051230

Number of participants as of the end of the plan year

Active participants 135

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1 2011 061539549 2012-07-27 COLLINS MEDICAL ASSOCIATES 2, P.C. 137
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1999-05-01
Business code 621111
Sponsor’s telephone number 8607146889
Plan sponsor’s mailing address 95 WOODLAND STREET, HARTFORD, CT, 06105
Plan sponsor’s address 95 WOODLAND STREET, HARTFORD, CT, 06105

Plan administrator’s name and address

Administrator’s EIN 061539549
Plan administrator’s name COLLINS MEDICAL ASSOCIATES 2, P.C.
Plan administrator’s address 95 WOODLAND STREET, HARTFORD, CT, 06105
Administrator’s telephone number 8607146889

Number of participants as of the end of the plan year

Active participants 159

Signature of

Role Plan administrator
Date 2012-07-27
Name of individual signing SUSAN LINK
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Business address Residence address
MARK A. BELSKY M.D. Director 675 TOWER AVE., HARTFORD, CT, 06112, United States 19 Park Place Cir, West Hartford, CT, 06110-1424, United States
JACQUES MENDELSOHN MD Director 506 CROMWELL AVENUE, ROCKY HILL, CT, 06067, United States 74 HIGH FARMS RD, WEST HARTFORD, CT, 06107, United States
BECHARA BARRAK M.D. Director 701 Cottage Grove Rd, SUITE D110, Bloomfield, CT, 06002, United States 66 EDDY STREET, AVON, CT, 06001, United States

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
MARK BELSKY M.D. Agent 675 TOWER AVE., HARTFORD, CT, 06112, United States 675 TOWER AVE., HARTFORD, CT, 06112, United States +1 860-830-6703 slink@collins2.com 19 Park Place Cir, West Hartford, CT, 06110, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012340886 2024-02-22 No data Annual Report Annual Report No data
BF-0011155699 2023-02-20 No data Annual Report Annual Report No data
BF-0010385091 2022-02-18 No data Annual Report Annual Report 2022
0007240585 2021-03-18 No data Annual Report Annual Report 2020
0007240595 2021-03-18 No data Annual Report Annual Report 2021
0006362426 2019-02-05 No data Annual Report Annual Report 2017
0006362433 2019-02-05 No data Annual Report Annual Report 2018
0006362442 2019-02-05 No data Annual Report Annual Report 2019
0005511636 2016-03-11 No data Annual Report Annual Report 2016
0005433758 2015-11-19 No data Annual Report Annual Report 2015

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website