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CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C.

Company Details

Entity Name: CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Forfeited
Date Formed: 03 Nov 1999 (Companies founded in November 1999)
Business ALEI: 0634248
Place of Formation: CONNECTICUT
Total authorized shares: 20000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2020 061561585 2021-12-28 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2021-12-28
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2020 061561585 2021-10-06 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2019 061561585 2020-10-13 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2018 061561585 2019-10-02 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2017 061561585 2018-10-09 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2016 061561585 2017-09-27 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2015 061561585 2016-10-10 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2014 061561585 2015-10-13 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2013 061561585 2014-10-07 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature
CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN 2012 061561585 2013-09-30 CHESHIRE ENDOCRINOLOGY & INTERNAL MEDICINE, P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621399
Sponsor’s telephone number 2032727240
Plan sponsor’s address 1891 LITCHFIELD TURNPIKE, WOODBRIDGE, CT, 06525

Signature of
Role Plan administrator
Date 2013-09-29
Name of individual signing RICHARD KAYNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
MERTON G. GOLLAHER ESQ Agent C/O WIGGIN & DANA, ONE CENTURY TOWER, PO BOX 1832, NEW HAVEN, CT, 06508-1832, United States 10 PEPPERBUSH LN, GUILFORD, CT, 06437, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012610743 2024-04-17 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0012506858 2023-12-27 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0002037474 1999-11-03 No data Business Formation Certificate of Incorporation No data

Related by officers

MERTON G. GOLLAHER ESQ

CLINTON INTERNAL MEDICINE, P.C. CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, P.C. YNH GERIATRIC SERVICES, P.C.

Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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