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  5. BRANFORD INTERNAL MEDICINE, LLC

BRANFORD INTERNAL MEDICINE, LLC

Company Details

Entity Name: BRANFORD INTERNAL MEDICINE, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Forfeited
Date Formed: 14 Mar 2000
Business ALEI: 0646066
Annual report due: 31 Mar 2019
Business address: 500 E. MAIN ST SUITE 212, BRANFORD, CT, 06405
ZIP code: 06405
County: New Haven
Place of Formation: CONNECTICUT
E-Mail: DJMILLER@BFDINTMED.COM

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2018 061576869 2019-07-25 BRANFORD INTERNAL MEDICINE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2018 061576869 2019-07-25 BRANFORD INTERNAL MEDICINE, LLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2017 061576869 2018-07-25 BRANFORD INTERNAL MEDICINE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2016 061576869 2017-07-27 BRANFORD INTERNAL MEDICINE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2015 061576869 2016-05-31 BRANFORD INTERNAL MEDICINE, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2016-05-31
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2014 061576869 2015-07-22 BRANFORD INTERNAL MEDICINE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2013 061576869 2014-07-24 BRANFORD INTERNAL MEDICINE, LLC 21
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2013 061576869 2014-09-08 BRANFORD INTERNAL MEDICINE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2014-09-08
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2012 061576869 2013-07-12 BRANFORD INTERNAL MEDICINE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Signature of
Role Plan administrator
Date 2013-07-12
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN 2011 061576869 2012-06-08 BRANFORD INTERNAL MEDICINE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2034815665
Plan sponsor’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405

Plan administrator’s name and address
Administrator’s EIN 061576869
Plan administrator’s name BRANFORD INTERNAL MEDICINE, LLC
Plan administrator’s address 500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
Administrator’s telephone number 2034815665

Signature of
Role Plan administrator
Date 2012-06-08
Name of individual signing DENIS MILLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address E-Mail Residence address
HOWARD D KOMISAR Agent C/O BERKOWITZ, TRAGER & TRAGER, LLC, 8 WRIGHT ST, WESTPORT, CT, 06880, United States C/O BERKOWITZ, TRAGER & TRAGER, LLC, 8 WRIGHT ST, WESTPORT, CT, 06880, United States DJMILLER@BFDINTMED.COM 1 FRASER DR, WOODBRIDGE, CT, 06525, United States

Officer

Name Role Business address Residence address
RICHARD S. RHEE M.D. Officer 500 EAST MAIN STREET, SUITE 212, BRANFORD, CT, 06405, United States 40 TEDS COURT, CHESHIRE, CT, 06410, United States
DENIS J. MILLER M.D. Officer 500 EAST MAIN STREET, SUITE 212, BRANFORD, CT, 06405, United States 1950 LITTLE MEADOW ROAD, GUILFORD, CT, 06437, United States
DAVID J. EILBOTT M.D. Officer 500 EAST MAIN STREET, SUITE 212, BRANFORD, CT, 06405, United States 75 POND VIEW CIRCLE, GUILFORD, CT, 06437, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011953256 2023-08-31 No data Administrative Dissolution Certificate of Dissolution/Revocation No data
BF-0011825626 2023-05-30 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0006139632 2018-03-26 2018-03-26 Amendment Amend No data
0006130824 2018-03-20 No data Annual Report Annual Report 2017
0006130826 2018-03-20 No data Annual Report Annual Report 2018
0006130823 2018-03-20 No data Annual Report Annual Report 2016
0005433694 2015-11-19 No data Annual Report Annual Report 2015
0005196884 2014-10-09 No data Annual Report Annual Report 2014
0004963565 2013-10-16 No data Annual Report Annual Report 2013
0004719061 2012-09-18 No data Annual Report Annual Report 2012

Related by officers

HOWARD D KOMISAR

SACHS, BERMAN & SHURE, P.C. TEMPLE INFORMATION SYSTEMS, INC. E.J.F., INC. FUSCO/GOTTLIEB ASSOCIATES, INC. HOWARD KOMISAR FAMILY, LLC

Related by address

No related companies by address

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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