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SAM-CAR, LLC

Company Details

Entity Name: SAM-CAR, LLC
Jurisdiction: Connecticut
Legal type: LLC
Citizenship: Domestic
Status: Active
Sub status: Annual report due
Date Formed: 30 Jun 2000
Business ALEI: 0655582
Annual report due: 31 Mar 2025
NAICS code: 541990 - All Other Professional, Scientific, and Technical Services
Business address: 15 CHURCH LANE, E. LYME, CT, 06333, United States
Mailing address: 15 CHURCH LANE, E. LYME, CT, United States, 06333
ZIP code: 06333
County: New London
Place of Formation: CONNECTICUT
E-Mail: marina@eastlymedentistry.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2023 061591257 2024-07-12 SAM - CAR LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2024-07-11
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-11
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2022 061591257 2023-07-18 SAM - CAR LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2023-07-18
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2021 061591257 2022-09-22 SAM - CAR LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2020 061591257 2021-08-18 SAM - CAR LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2021-08-18
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2019 061591257 2020-07-20 SAM - CAR LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2020-07-20
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2018 061591257 2019-07-15 SAM - CAR LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2019-07-15
Name of individual signing MARINA SANTOS
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2017 061591257 2018-06-04 SAM - CAR LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2018-06-04
Name of individual signing TRASIELYN ADEMI
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2016 061591257 2017-06-16 SAM - CAR LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2017-06-16
Name of individual signing TRASIELYN ADEMI
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2015 061591257 2016-06-20 SAM - CAR LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2016-06-20
Name of individual signing TRASIELYN ADEMI
Valid signature Filed with authorized/valid electronic signature
EAST LYME FAMILY & COSMETIC DENTISTRY 401K 2014 061591257 2015-07-15 SAM - CAR LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-07-01
Business code 621210
Sponsor’s telephone number 8607393447
Plan sponsor’s address 15 CHURCH LANE, EAST LYME, CT, 06333

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing TRASIELYN ADEMI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
SAMI A. YOUSUF Agent 15 CHURCH LANE, E. LYME, CT, 06333, United States 15 Church Ln, East Lyme, CT, 06333-1621, United States +1 860-334-0503 eastlymefamily@yahoo.com 7 SEEBECK RD., E. LYME, CT, 06333, United States

Officer

Name Role Business address Phone E-Mail Residence address
SAMI A. YOUSUF Officer No data +1 860-334-0503 eastlymefamily@yahoo.com 7 SEEBECK RD., E. LYME, CT, 06333, United States
JOSEPH PALUMBO Officer 15 CHURCH LANE, EAST LYME, CT, 06333, United States No data No data 50 FENWOOD GROVE RD, OLD SAYBROOK, CT, 06475, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0012152281 2024-02-09 No data Annual Report Annual Report No data
BF-0011399780 2023-04-25 No data Annual Report Annual Report No data
BF-0008557530 2023-04-25 No data Annual Report Annual Report 2020
BF-0008557529 2023-04-25 No data Annual Report Annual Report 2017
BF-0010862709 2023-04-25 No data Annual Report Annual Report No data
BF-0009961379 2023-04-25 No data Annual Report Annual Report No data
BF-0008557527 2023-04-25 No data Annual Report Annual Report 2018
BF-0008557528 2023-04-25 No data Annual Report Annual Report 2019
BF-0011714797 2023-02-27 No data Administrative Dissolution Notice of Intent to Dissolve/Revoke No data
0005779267 2017-03-02 No data Annual Report Annual Report 2016

Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website