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  5. GREENWICH OTOLARYNGOLOGY, P.C.

GREENWICH OTOLARYNGOLOGY, P.C.

Company Details

Entity Name: GREENWICH OTOLARYNGOLOGY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 27 Jul 2000
Date of dissolution: 26 Mar 2019
Business ALEI: 0657549
Annual report due: 27 Jul 2002
Business address: 4 DEARFIELD DRIVE SUITE 104, GREENWICH, CT, 06831
ZIP code: 06831
County: Fairfield
Place of Formation: CONNECTICUT
Total authorized shares: 5000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2015 061589908 2016-03-31 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2014 061589908 2015-08-04 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2015-08-04
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2013 061589908 2014-04-06 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2014-04-06
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2012 061589908 2013-04-10 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Signature of
Role Plan administrator
Date 2013-04-10
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2011 061589908 2012-04-16 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Plan administrator’s name and address
Administrator’s EIN 061589908
Plan administrator’s name GREENWICH OTOLARYNGOLOGY, P.C.
Plan administrator’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831
Administrator’s telephone number 2036295500

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2010 061589908 2011-06-21 GREENWICH OTOLARYNGOLOGY, P.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Plan administrator’s name and address
Administrator’s EIN 061589908
Plan administrator’s name GREENWICH OTOLARYNGOLOGY, P.C.
Plan administrator’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831
Administrator’s telephone number 2036295500

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST 2009 061589908 2010-07-20 GREENWICH OTOLARYNGOLOGY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2036295500
Plan sponsor’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831

Plan administrator’s name and address
Administrator’s EIN 061589908
Plan administrator’s name GREENWICH OTOLARYNGOLOGY, P.C.
Plan administrator’s address 4 DEERFIELD DRIVE, GREENWICH, CT, 06831
Administrator’s telephone number 2036295500

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing STEVEN FELDMAN, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
DONNA MONICK Agent 71 ANGUS ROAD NORTH, GREENWICH, CT, 06831, United States 71 ANGUS ROAD NORTH, GREENWICH, CT, 06831, United States

Officer

Name Role Business address Residence address
STEVEN M. FELDMAN M.D. Officer 4 DEARFIELD DRIVE, SUITE 104, GREENWICH, CT, 06831, United States 3 COBBLERS LANE, ARMONK, NY, 10504, United States

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0006491746 2019-03-26 2019-03-26 Dissolution Certificate of Dissolution No data
0002495998 2002-09-03 2002-09-03 Annual Report Annual Report 2001
0002147717 2000-08-23 2000-08-23 First Report Organization and First Report No data
0002148102 2000-08-23 2000-08-23 Change of Business Address Business Address Change No data
0002136339 2000-07-27 No data Business Formation Certificate of Incorporation No data

Related by officers

No related officers

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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