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  5. PETER A. SMALL, M.D., P.C.

PETER A. SMALL, M.D., P.C.

Company Details

Entity Name: PETER A. SMALL, M.D., P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 15 Mar 2000
Date of dissolution: 31 Oct 2018
Business ALEI: 0646297
Annual report due: 15 Mar 2012
Business address: 2119 POST ROAD, FAIRFIELD, CT, 06824
Mailing address: 2119 POST RD., FAIRFIELD, CT, 06824
ZIP code: 06824
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: drsmall2020@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 061575822 2018-12-18 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032590538
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-12-18
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-12-15
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 061575822 2018-06-05 PETER A. SMALL, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032590538
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2018-06-05
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 061575822 2017-08-09 PETER A. SMALL, M.D., P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2017-08-09
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 061575822 2016-08-03 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2016-08-03
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2013 061575822 2015-08-12 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2012 061575822 2014-08-15 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Signature of
Role Plan administrator
Date 2014-08-13
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2011 061575822 2013-05-09 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 061575822
Plan administrator’s name PETER A. SMALL, M.D., P.C.
Plan administrator’s address 2119 POST ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032597400

Signature of
Role Plan administrator
Date 2013-05-09
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2010 061575822 2012-04-12 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 061575822
Plan administrator’s name PETER A. SMALL, M.D., P.C.
Plan administrator’s address 2119 POST ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032597400

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature
PETER A. SMALL, M.D., P.C. 401(K) PROFIT SHARING PLAN 2009 061575822 2011-05-05 PETER A. SMALL, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-11-01
Business code 621111
Sponsor’s telephone number 2032597400
Plan sponsor’s address 2119 POST ROAD, FAIRFIELD, CT, 06824

Plan administrator’s name and address
Administrator’s EIN 061575822
Plan administrator’s name PETER A. SMALL, M.D., P.C.
Plan administrator’s address 2119 POST ROAD, FAIRFIELD, CT, 06824
Administrator’s telephone number 2032597400

Signature of
Role Plan administrator
Date 2011-05-05
Name of individual signing PETER SMALL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
STEPHEN L. SALTZMAN ESQ. Agent 271 WHITNEY AVENUE, NEW HAVEN, CT, 06511, United States 76 COUNTRY CLUB DRIVE, WOODBRIDGE, CT, 06525, United States

Officer

Name Role Business address Residence address
MARTHA SMALL M.D. Officer 2119 POST ROAD, FAIRFIELD, CT, 06824, United States 62 LAUREL DRIVE, EASTON, CT, 06612, United States
PETER A. SMALL M.D. Officer 2119 POST ROAD, FAIRFIELD, CT, 06824, United States 62 LAUREL DRIVE, EASTON, CT, 06612, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006252944 2018-10-01 2018-10-31 Dissolution Certificate of Dissolution No data
0004434365 2011-03-21 No data Annual Report Annual Report 2011
0004158985 2010-03-22 No data Annual Report Annual Report 2010
0003949279 2009-05-08 No data Annual Report Annual Report 2009
0003688054 2008-04-14 No data Annual Report Annual Report 2008
0003443318 2007-04-20 No data Annual Report Annual Report 2007
0003249767 2006-06-13 No data Annual Report Annual Report 2005
0003249768 2006-06-13 No data Annual Report Annual Report 2006
0002808523 2004-04-15 2004-04-15 Annual Report Annual Report 2004
0002633304 2003-04-28 2003-04-28 Annual Report Annual Report 2003

Related by officers

STEPHEN L. SALTZMAN ESQ.

NITAI I. RIEGLER, M.D., LLC EUGENIA M. VINING, M.D., LLC JOEL W. MALIN, M.D., LLC ENDOCRINE ASSOCIATES OF CONNECTICUT, LLC BRADLEY POND, LLC MEDICAL CONSULTANTS, INC. VLFR REALTY, LLC SUDAV REALTY, LLC MAMA REALTY, LLC WEST ROCK GARDENS LLC

PETER A. SMALL M.D.

OPHTHALMOLOGY ASSOCIATES, P.C.

Related by address

2119 POST RD., FAIRFIELD, CT, 06824

VINEYARD PHYSICAL THERAPY, P.C.

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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