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MANCINI FAMILY DENTISTRY, P.C.

Company Details

Entity Name: MANCINI FAMILY DENTISTRY, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Date Formed: 08 Jun 2001 (Companies founded in June 2001)
Date of dissolution: 06 Jan 2015
Business ALEI: 0683443
Annual report due: 08 Jun 2014
Business address: 750 MAIN STREET, SUITE 800, HARTFORD, CT, 06103
ZIP code: 06103 (Companies in Hartford, 06103)
County: Hartford
Place of Formation: CONNECTICUT
Total authorized shares: 20000
E-Mail: nmancinidds@yahoo.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MANCINI FAMILY DENTISTRY, P.C. 2012 061622698 2013-06-21 MANCINI FAMILY DENTISTRY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 621111
Sponsor’s telephone number 8606772226
Plan sponsor’s address 750 MAIN STREET SUITE 800, HARTFORD, CT, 06103

Plan administrator’s name and address
Administrator’s EIN 061622698
Plan administrator’s name MANCINI FAMILY DENTISTRY P.C.
Plan administrator’s address 750 MAIN STREET SUITE 800, HARTFORD, CT, 06103
Administrator’s telephone number 8606551547

Signature of
Role Plan administrator
Date 2013-06-20
Name of individual signing ANTHONY MANCINI D.D.S.
Valid signature Filed with authorized/valid electronic signature
MANCINI FAMILY DENTISTRY, P.C. 401(K) P/S PLAN 2012 061622698 2013-05-14 MANCINI FAMILY DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-17
Business code 621111
Sponsor’s telephone number 8606551547
Plan sponsor’s address 750 MAIN STREET, SUITE 800, HARTFORD, CT, 06103

Plan administrator’s name and address
Administrator’s EIN 061622698
Plan administrator’s name MANCINI FAMILY DENTISTRY, P.C.
Plan administrator’s address 750 MAIN STREET, SUITE 800, HARTFORD, CT, 06103
Administrator’s telephone number 8606551547

Signature of
Role Plan administrator
Date 2013-05-14
Name of individual signing NICOLE MANCINI
Valid signature Filed with authorized/valid electronic signature
MANCINI FAMILY DENTISTRY, P.C. 401(K) P/S PLAN 2011 061622698 2012-03-06 MANCINI FAMILY DENTISTRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-17
Business code 621111
Sponsor’s telephone number 8605602898
Plan sponsor’s address 750 MAIN STREET, SUITE 800, HARTFORD, CT, 06103

Plan administrator’s name and address
Administrator’s EIN 061622698
Plan administrator’s name MANCINI FAMILY DENTISTRY, P.C.
Plan administrator’s address 750 MAIN STREET, SUITE 800, HARTFORD, CT, 06103
Administrator’s telephone number 8605602898

Signature of
Role Plan administrator
Date 2012-03-06
Name of individual signing NICOLE MANCINI
Valid signature Filed with authorized/valid electronic signature
MANCINI FAMILY DENTISTRY, P.C. 401(K) P/S PLAN 2010 061622698 2011-03-09 MANCINI FAMILY DENTISTRY, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-17
Business code 621111
Sponsor’s telephone number 8605602898
Plan sponsor’s address 771 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061622698
Plan administrator’s name MANCINI FAMILY DENTISTRY, P.C.
Plan administrator’s address 771 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Administrator’s telephone number 8605602898

Signature of
Role Plan administrator
Date 2011-03-09
Name of individual signing NICOLE MANCINI
Valid signature Filed with authorized/valid electronic signature
MANCINI FAMILY DENTISTRY, P.C. 401(K) P/S PLAN 2009 061622698 2010-06-28 MANCINI FAMILY DENTISTRY, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-17
Business code 621111
Sponsor’s telephone number 8605602898
Plan sponsor’s address 771 FARMINGTON AVENUE, FARMINGTON, CT, 06032

Plan administrator’s name and address
Administrator’s EIN 061622698
Plan administrator’s name MANCINI FAMILY DENTISTRY, P.C.
Plan administrator’s address 771 FARMINGTON AVENUE, FARMINGTON, CT, 06032
Administrator’s telephone number 8605602898

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing ANTHONY MANCINI D.D.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Residence address
DAVID J. MARKOWITZ Agent THREE REGENCY DRIVE, BLOOMFIELD, CT, 06002, United States 14 HIGH HILL ROAD, CANTON, CT, 06019, United States

Officer

Name Role Business address Residence address
NICOLE MANCINI Officer 750 MAIN ST STE 800, HARTFORD, CT, 06103, United States 49 MINER ST, MIDDLETOWN, CT, 06457, United States

History

Type Old value New value Date of change
Name change FARMINGTON DENTAL ASSOCIATES, P.C. MANCINI FAMILY DENTISTRY, P.C. 2007-03-28
Name change DEKKER & MANCINI DENTAL ASSOCIATES, P.C. FARMINGTON DENTAL ASSOCIATES, P.C. 2004-03-18

Filing

Filing number Filing date Effective date Filing category Filing type Report year
0005251326 2015-01-06 2015-01-06 Dissolution Certificate of Dissolution No data
0004874023 2013-06-08 No data Annual Report Annual Report 2012
0004874024 2013-06-08 No data Annual Report Annual Report 2013
0004571072 2012-04-03 No data Interim Notice Interim Notice No data
0004529067 2012-02-14 2012-02-14 Change of Business Address Business Address Change No data
0004527286 2011-06-14 No data Annual Report Annual Report 2011
0004213192 2010-06-02 No data Annual Report Annual Report 2010
0003975074 2009-06-18 No data Annual Report Annual Report 2009
0003726244 2008-06-04 No data Annual Report Annual Report 2008
0003487496 2007-06-20 No data Annual Report Annual Report 2007

Related by officers

DAVID J. MARKOWITZ

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Related by address

No related companies by address

Date of last update: 11 Nov 2024

Sources: Connecticut's Official State Website

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