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  5. QUINNIPIAC MEDICAL OF BRANFORD, LLC

QUINNIPIAC MEDICAL OF BRANFORD, LLC

Company Details

Entity Name: QUINNIPIAC MEDICAL OF BRANFORD, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 03 Nov 1999
Business ALEI: 0634247
Annual report due: 31 Mar 2025
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 960 MAIN STREET, BRANFORD, CT, 06405, United States
Mailing address: 960 MAIN STREET, BRANFORD, CT, United States, 06405
ZIP code: 06405
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: TAYLORMK@QUINMED.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
QUINNIPIAC MEDICAL OF BRANFORD 401(K) PROFIT SHARING PLAN & TRUST 2023 061562459 2024-05-29 QUINNIPIAC MEDICAL OF BRANFORD 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401(K) PROFIT SHARING PLAN & TRUST 2022 061562459 2023-04-18 QUINNIPIAC MEDICAL OF BRANFORD 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2023-04-18
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401(K) PROFIT SHARING PLAN & TRUST 2021 061562459 2022-04-28 QUINNIPIAC MEDICAL OF BRANFORD 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401(K) PROFIT SHARING PLAN & TRUST 2020 061562459 2021-04-22 QUINNIPIAC MEDICAL OF BRANFORD 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2021-04-22
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401(K) PROFIT SHARING PLAN & TRUST 2019 061562459 2020-06-07 QUINNIPIAC MEDICAL OF BRANFORD 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2020-06-07
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401 K PROFIT SHARING PLAN TRUST 2018 061562459 2019-03-14 QUINNIPIAC MEDICAL OF BRANFORD 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2019-03-14
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401 K PROFIT SHARING PLAN TRUST 2017 061562459 2018-06-26 QUINNIPIAC MEDICAL OF BRANFORD 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401 K PROFIT SHARING PLAN TRUST 2016 061562459 2017-07-20 QUINNIPIAC MEDICAL OF BRANFORD 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401 K PROFIT SHARING PLAN TRUST 2015 061562459 2016-06-03 QUINNIPIAC MEDICAL OF BRANFORD 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2016-06-03
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature
QUINNIPIAC MEDICAL OF BRANFORD 401 K PROFIT SHARING PLAN TRUST 2014 061562459 2015-05-14 QUINNIPIAC MEDICAL OF BRANFORD 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034886358
Plan sponsor’s address 960 MAIN ST, BRANFORD, CT, 064053730

Signature of
Role Plan administrator
Date 2015-05-14
Name of individual signing MARY KAY TAYLOR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
RICHARD E KAUFMAN MD Agent 960 MAIN STREET, BRANFORD, CT, 06405, United States 960 MAIN STREET, BRANFORD, CT, 06405, United States +1 203-488-6358 taylormk@quinmed.com CONNECTICUT, 10 TUMBLEBROOK ROAD, WOODBRIDGE, CT, 06525, United States

Officer

Name Role Business address Residence address
RICHARD KAUFMAN Officer 960 MAIN STREET, BRANFORD, CT, 06405, United States 760 Davenport Ave, 31st floor, New Rochelle, NY, 10805, United States
ANDREA RADEBOLD Officer 960 MAIN STREET, BRANFORD, CT, 06405, United States 180 DEER LANE, GUILFORD, CT, 06473, United States
JOSEPH QUARANTA Officer 960 MAIN STREET, BRANFORD, CT, 06405, United States 54 HAMPTON CLOSE, ORANGE, CT, 06477, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012354406 2024-01-29 No data Annual Report Annual Report No data
BF-0011159468 2023-01-27 No data Annual Report Annual Report No data
BF-0010332793 2022-03-04 No data Annual Report Annual Report 2022
0007107655 2021-02-02 No data Annual Report Annual Report 2021
0006712874 2020-01-07 No data Annual Report Annual Report 2020
0006328908 2019-01-21 No data Annual Report Annual Report 2019
0006043109 2018-01-30 No data Annual Report Annual Report 2018
0005951904 2017-10-24 No data Annual Report Annual Report 2017
0005699605 2016-11-18 No data Annual Report Annual Report 2016
0005437027 2015-11-27 No data Annual Report Annual Report 2015

Related by officers

RICHARD KAUFMAN

REGIONAL CONSTRUCTION CORP. THE SHIRLEY FUCHSBERG LIMITED PARTNERSHIP BRANFORD PHYSICAL THERAPY LIMITED PARTNERSHIP SGK DISTRIBUTING CO., INC. THE FUCHSBERG FAMILY LIMITED PARTNERSHIP

Related by address

960 MAIN STREET, BRANFORD, CT, 06405, United States

BRANFORD MEDICAL OFFICES, LLC

960 MAIN STREET, BRANFORD, CT, United States, 06405

BRANFORD MEDICAL OFFICES, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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