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  5. CONSTITUTION SURGERY CENTER EAST, LLC

CONSTITUTION SURGERY CENTER EAST, LLC

Company Details

Entity Name: CONSTITUTION SURGERY CENTER EAST, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 22 Dec 1999
Business ALEI: 0638299
Annual report due: 31 Mar 2025
NAICS code: 621498 - All Other Outpatient Care Centers
Business address: 140 CROSS ROAD, WATERFORD, CT, 06385, United States
Mailing address: 140 CROSS ROAD, WATERFORD, CT, United States, 06385
ZIP code: 06385
County: New London
Place of Formation: CONNECTICUT
E-Mail: katiecistulli@cbfs.us

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2023 061574704 2024-06-19 CONSTITUTION EYE SURGERY CENTER EAST, LLC 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2022 061574704 2023-08-23 CONSTITUTION EYE SURGERY CENTER EAST, LLC 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2023-08-23
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2021 061574704 2022-09-01 CONSTITUTION EYE SURGERY CENTER EAST, LLC 73
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2020 061574704 2021-07-29 CONSTITUTION EYE SURGERY CENTER EAST, LLC 67
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2019 061574704 2020-06-04 CONSTITUTION EYE SURGERY CENTER EAST, LLC 60
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2018 061574704 2019-05-28 CONSTITUTION EYE SURGERY CENTER EAST, LLC 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PROFIT SHARING PLAN 2017 061574704 2018-05-15 CONSTITUTION EYE SURGERY CENTER EAST, LLC 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 100 AVON MEADOW LANE, P.O. BOX 1021, AVON, CT, 06001

Signature of
Role Plan administrator
Date 2018-05-15
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PLAN 2013 061574704 2014-06-30 CONSTITUTION EYE SURGERY CENTER EAST, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVE., BLDG. #3, NEWINGTON, CT, 06111

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PLAN 2012 061574704 2013-06-17 CONSTITUTION EYE SURGERY CENTER EAST, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVE., BLDG. #3, NEWINGTON, CT, 06111

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature
CONSTITUTION EYE SURGERY CENTER EAST, LLC 401(K) PLAN 2011 061574704 2012-10-11 CONSTITUTION EYE SURGERY CENTER EAST, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8606650174
Plan sponsor’s address 505 WILLARD AVE., BLDG. #3, NEWINGTON, CT, 06111

Plan administrator’s name and address
Administrator’s EIN 061574704
Plan administrator’s name CONSTITUTION EYE SURGERY CENTER EAST, LLC
Plan administrator’s address 505 WILLARD AVE., BLDG. #3, NEWINGTON, CT, 06111
Administrator’s telephone number 8606650174

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing KRISTIAN MINEAU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
REID AND RIEGE, P.C. Agent

Officer

Name Role Business address Residence address
WILLIAM W. BACKUS HOSPITAL Officer 326 Washington Street, Norwich, CT, 06360, United States 326 Washington Street, Norwich, CT, 06360, United States
CSCE HOLDINGS, LLC Officer 100 AVON MEADOW LANE, AVON, CT, 06001, United States No data

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
ASC.0000357 Out-Patient Surgical Facility ACTIVE CURRENT 2017-11-20 2023-10-01 2025-09-30
CSP.0056831 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER ACTIVE CURRENT 2014-03-12 2023-03-01 2025-02-28

History

Type Old value New value Date of change
Name change CONSTITUTION EYE SURGERY CENTER EAST, LLC CONSTITUTION SURGERY CENTER EAST, LLC 2011-02-18
Name change CONSTITUTION EYE SURGERY CENTER OF EASTERN CONNECTICUT, LLC CONSTITUTION EYE SURGERY CENTER EAST, LLC 2001-09-12

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012354160 2024-01-22 No data Annual Report Annual Report No data
BF-0011158092 2023-01-24 No data Annual Report Annual Report No data
BF-0010385151 2022-01-28 No data Annual Report Annual Report 2022
0007119986 2021-02-03 No data Annual Report Annual Report 2021
0006729985 2020-01-22 No data Annual Report Annual Report 2020
0006316826 2019-01-10 No data Annual Report Annual Report 2018
0006316925 2019-01-10 No data Annual Report Annual Report 2019
0006017027 2018-01-19 No data Annual Report Annual Report 2017
0005945576 2017-10-13 No data Annual Report Annual Report 2016
0005594636 2016-06-30 No data Annual Report Annual Report 2015

Related by officers

No related officers

Related by address

140 CROSS ROAD, WATERFORD, CT, 06385, United States

CSCE REALTY, LLC WATERFORD REALTY, LLC

140 CROSS ROAD, WATERFORD, CT, United States, 06385

WATERFORD REALTY, LLC

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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